Author/Editor		Riccardi, Enzo; Jakimovska, Marina; Maniglio, Paolo; Schimberni, Mauro; Frega, Antonio; Kobal, Borut; Moscarini, Massimo
Title		Laparoscopic injury of the obturator nerve during fertility-sparing procedure for cervical cancer
Type		članek
Vol. and No.		Letnik 10, št. 177
Publication year		2012
Volume		str. 1-3
ISSN		1477-7819 - World journal of surgical oncology
Language		eng
Abstract		Background Intraoperative injury of the obturator nerve has rarely been reported in patients with gynecological malignancies undergoing extensive radical surgeries. Irreversible damage of this nerve causes thigh paresthesia and claudication. Intraoperative repair may be done by end-to-end anastomosis or grafting when achieving tension-free anastomosis is not possible. Case presentation A 28-year-old woman with stage IB cervical cancer underwent fertility-sparing surgery, including conization and bilateral pelvic lymphadenectomy. The left obturator nerve was damaged intraoperatively during pelvic dissection. Conclusion Immediate laparoscopic repair was successful and there was no functional deficit in the left thigh for six months postoperatively.
Keywords		cervical cancer fertility-sparing procedure laparoscopy lymphadenectomy obturator nerve injury