Obturator nerve injury in laparoscopic inguinal hernia mesh repair
Injury to pelvic nerves during laparoscopy mostly occurs in gynecological and urological procedures. In abdominal surgery, these complications are infrequent. We present a case report of a patient who suffered a rare obturator nerve injury during a laparoscopic hernioplasty caused by clipping the ne...
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| Published in: | Hernia : the journal of hernias and abdominal wall surgery Vol. 17; no. 6; pp. 801 - 804 |
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| Main Authors: | , , |
| Format: | Journal Article |
| Language: | English |
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01-12-2013
Springer Nature B.V |
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| Abstract | Injury to pelvic nerves during laparoscopy mostly occurs in gynecological and urological procedures. In abdominal surgery, these complications are infrequent. We present a case report of a patient who suffered a rare obturator nerve injury during a laparoscopic hernioplasty caused by clipping the nerve to the edge of the mesh. After revision and release of nerve from the clip and scars tissue, the associated pain rapidly disappeared and thigh adduction strength improved. Now, 4 years later, MRI and EMG show no sign of nerve compression. |
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| AbstractList | Injury to pelvic nerves during laparoscopy mostly occurs in gynecological and urological procedures. In abdominal surgery, these complications are infrequent. We present a case report of a patient who suffered a rare obturator nerve injury during a laparoscopic hernioplasty caused by clipping the nerve to the edge of the mesh. After revision and release of nerve from the clip and scars tissue, the associated pain rapidly disappeared and thigh adduction strength improved. Now, 4 years later, MRI and EMG show no sign of nerve compression. Injury to pelvic nerves during laparoscopy mostly occurs in gynecological and urological procedures. In abdominal surgery, these complications are infrequent. We present a case report of a patient who suffered a rare obturator nerve injury during a laparoscopic hernioplasty caused by clipping the nerve to the edge of the mesh. After revision and release of nerve from the clip and scars tissue, the associated pain rapidly disappeared and thigh adduction strength improved. Now, 4 years later, MRI and EMG show no sign of nerve compression.[PUBLICATION ABSTRACT] Injury to pelvic nerves during laparoscopy mostly occurs in gynecological and urological procedures. In abdominal surgery, these complications are infrequent. We present a case report of a patient who suffered a rare obturator nerve injury during a laparoscopic hernioplasty caused by clipping the nerve to the edge of the mesh. After revision and release of nerve from the clip and scars tissue, the associated pain rapidly disappeared and thigh adduction strength improved. Now, 4 years later, MRI and EMG show no sign of nerve compression. |
| Author | Haninec, P. Horak, L. Kaiser, R. |
| Author_xml | – sequence: 1 givenname: P. surname: Haninec fullname: Haninec, P. email: pavel.haninec@fnkv.cz organization: 3rd Faculty of Medicine, Department of Neurosurgery, Hospital Kralovske Vinohrady, Charles University – sequence: 2 givenname: L. surname: Horak fullname: Horak, L. organization: 3rd Faculty of Medicine, Department of Surgery, Charles University – sequence: 3 givenname: R. surname: Kaiser fullname: Kaiser, R. organization: 3rd Faculty of Medicine, Department of Neurosurgery, Hospital Kralovske Vinohrady, Charles University |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22836919$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1089_lap_2015_0190 crossref_primary_10_1016_j_ejogrb_2020_07_002 crossref_primary_10_1111_ases_12132 crossref_primary_10_1016_j_otsr_2017_03_005 crossref_primary_10_1089_lap_2020_0459 crossref_primary_10_1186_s12893_020_00786_9 crossref_primary_10_1259_bjrcr_20210158 crossref_primary_10_18597_rcog_3168 crossref_primary_10_1111_ases_13076 crossref_primary_10_1016_j_ijscr_2021_106657 |
| Cites_doi | 10.1006/gyno.1994.1108 10.3171/2011.1.JNS101239 10.1007/s10029-011-0798-9 10.1016/S1072-7515(99)00039-3 10.1002/bjs.1800840122 10.3748/wjg.v17.i14.1791 10.1002/bjs.5103 10.1227/01.NEU.0000335652.61676.CC 10.1016/0303-8467(91)90014-G 10.1007/s10029-009-0529-7 10.1016/j.jmig.2005.08.008 10.1016/S0029-7844(02)02052-5 |
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| Keywords | Nerve injury Laparoscopy Obturator nerve Inguinal hernia repair |
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| References | Lindner, Schulte-Mattler, Zierz (CR3) 1997; 119 Vasilev (CR1) 1994; 53 Kitagawa, Kim, Reid (CR12) 2009; 65 Alfieri, Amid, Campanelli (CR10) 2011; 15 CR8 Hakeem, Shanmugam (CR11) 2011; 17 Bischoff, Schonle (CR2) 1991; 93 Topal, Hourlay (CR7) 1997; 84 Ferzli, Frezza, Pecoraro (CR13) 1999; 188 Spiliopoulos, Williams (CR4) 2011; 114 Aasvang, Kehlet (CR15) 2005; 92 Kirchmair, Lirk, Colvin (CR6) 2008; 33 Simons, Aufenacker, Bay-Nielsen (CR9) 2009; 13 Koch, Greenlee, Larson (CR14) 2006; 10 Rafii, Querleu (CR16) 2006; 13 Cardosi, Cox, Hoffman (CR5) 2002; 100 21528050 - World J Gastroenterol. 2011 Apr 14;17(14):1791-6 1651197 - Clin Neurol Neurosurg. 1991;93(1):73-6 12151144 - Obstet Gynecol. 2002 Aug;100(2):240-4 10235572 - J Am Coll Surg. 1999 May;188(5):461-5 8188073 - Gynecol Oncol. 1994 May;53(2):152-5 21365287 - Hernia. 2011 Jun;15(3):239-49 16431318 - J Minim Invasive Gynecol. 2006 Jan-Feb;13(1):17-9 15962258 - Br J Surg. 2005 Jul;92(7):795-801 9173773 - Zentralbl Gynakol. 1997;119(3):93-9 17575757 - JSLS. 2006 Oct-Dec;10(4):457-60 19636493 - Hernia. 2009 Aug;13(4):343-403 19927074 - Neurosurgery. 2009 Oct;65(4 Suppl):A24-8 9043454 - Br J Surg. 1997 Jan;84(1):61-3 21351833 - J Neurosurg. 2011 Jun;114(6):1529-33 18299090 - Reg Anesth Pain Med. 2008 Mar-Apr;33(2):109-14 L Kirchmair (972_CR6) 2008; 33 K Spiliopoulos (972_CR4) 2011; 114 CA Koch (972_CR14) 2006; 10 R Kitagawa (972_CR12) 2009; 65 A Lindner (972_CR3) 1997; 119 RJ Cardosi (972_CR5) 2002; 100 S Alfieri (972_CR10) 2011; 15 972_CR8 E Aasvang (972_CR15) 2005; 92 B Topal (972_CR7) 1997; 84 MP Simons (972_CR9) 2009; 13 GS Ferzli (972_CR13) 1999; 188 A Hakeem (972_CR11) 2011; 17 A Rafii (972_CR16) 2006; 13 C Bischoff (972_CR2) 1991; 93 SA Vasilev (972_CR1) 1994; 53 |
| References_xml | – volume: 119 start-page: 93 issue: 3 year: 1997 end-page: 99 ident: CR3 article-title: Postpartal obturator neuropathy: case report and review of nerve compression syndromes during pregnancy and delivery publication-title: Zentralbl Gynakol contributor: fullname: Zierz – volume: 33 start-page: 109 issue: 2 year: 2008 end-page: 114 ident: CR6 article-title: Lumbar plexus and psoas major muscle: not always as expected publication-title: Reg Anesth Pain Med contributor: fullname: Colvin – volume: 53 start-page: 152 issue: 2 year: 1994 end-page: 155 ident: CR1 article-title: Obturator nerve injury: a review of management options publication-title: Gynecol Oncol doi: 10.1006/gyno.1994.1108 contributor: fullname: Vasilev – volume: 114 start-page: 1529 issue: 6 year: 2011 end-page: 1533 ident: CR4 article-title: Femoral branch to obturator nerve transfer for restoration of thigh adduction following iatrogenic injury: case report publication-title: J Neurosurg doi: 10.3171/2011.1.JNS101239 contributor: fullname: Williams – volume: 15 start-page: 239 issue: 3 year: 2011 end-page: 249 ident: CR10 article-title: International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery publication-title: Hernia doi: 10.1007/s10029-011-0798-9 contributor: fullname: Campanelli – volume: 188 start-page: 461 year: 1999 end-page: 465 ident: CR13 article-title: Prospective randomized study of stapled versus unstapled mesh in a laparoscopic preperitoneal inguinal hernia repair publication-title: J Am Coll Surg doi: 10.1016/S1072-7515(99)00039-3 contributor: fullname: Pecoraro – volume: 10 start-page: 457 year: 2006 end-page: 460 ident: CR14 article-title: Randomized prospective study of totally extraperitoneal inguinal hernia repair: fixation versus no fixation of mesh publication-title: JSLS contributor: fullname: Larson – volume: 84 start-page: 61 issue: 1 year: 1997 end-page: 63 ident: CR7 article-title: Totally preperitoneal endoscopic inguinal hernia repair publication-title: Br J Surg doi: 10.1002/bjs.1800840122 contributor: fullname: Hourlay – volume: 17 start-page: 1791 issue: 14 year: 2011 end-page: 1796 ident: CR11 article-title: Inguinodynia following Lichtenstein tension-free hernia repair: a review publication-title: World J Gastroenterol doi: 10.3748/wjg.v17.i14.1791 contributor: fullname: Shanmugam – volume: 92 start-page: 795 issue: 7 year: 2005 end-page: 801 ident: CR15 article-title: Surgical management of chronic pain after inguinal hernia repair publication-title: Br J Surg doi: 10.1002/bjs.5103 contributor: fullname: Kehlet – ident: CR8 – volume: 65 start-page: A24 issue: Suppl 4 year: 2009 end-page: A28 ident: CR12 article-title: Surgical management of obturator nerve lesions publication-title: Neurosurgery doi: 10.1227/01.NEU.0000335652.61676.CC contributor: fullname: Reid – volume: 93 start-page: 73 issue: 1 year: 1991 end-page: 76 ident: CR2 article-title: Obturator nerve injuries during intra-abdominal surgery publication-title: Clin Neurol Neurosurg doi: 10.1016/0303-8467(91)90014-G contributor: fullname: Schonle – volume: 13 start-page: 343 issue: 4 year: 2009 end-page: 403 ident: CR9 article-title: European hernia society guidelines on the treatment of inguinal hernia in adult patients publication-title: Hernia doi: 10.1007/s10029-009-0529-7 contributor: fullname: Bay-Nielsen – volume: 13 start-page: 17 issue: 1 year: 2006 end-page: 19 ident: CR16 article-title: Laparoscopic obturator nerve neurolysis after pelvic lymphadenectomy publication-title: J Minim Invasive Gynecol doi: 10.1016/j.jmig.2005.08.008 contributor: fullname: Querleu – volume: 100 start-page: 240 issue: 2 year: 2002 end-page: 244 ident: CR5 article-title: Postoperative neuropathies after major pelvic surgery publication-title: Obstet Gynecol doi: 10.1016/S0029-7844(02)02052-5 contributor: fullname: Hoffman – volume: 13 start-page: 17 issue: 1 year: 2006 ident: 972_CR16 publication-title: J Minim Invasive Gynecol doi: 10.1016/j.jmig.2005.08.008 contributor: fullname: A Rafii – volume: 114 start-page: 1529 issue: 6 year: 2011 ident: 972_CR4 publication-title: J Neurosurg doi: 10.3171/2011.1.JNS101239 contributor: fullname: K Spiliopoulos – volume: 65 start-page: A24 issue: Suppl 4 year: 2009 ident: 972_CR12 publication-title: Neurosurgery doi: 10.1227/01.NEU.0000335652.61676.CC contributor: fullname: R Kitagawa – ident: 972_CR8 – volume: 84 start-page: 61 issue: 1 year: 1997 ident: 972_CR7 publication-title: Br J Surg doi: 10.1002/bjs.1800840122 contributor: fullname: B Topal – volume: 188 start-page: 461 year: 1999 ident: 972_CR13 publication-title: J Am Coll Surg doi: 10.1016/S1072-7515(99)00039-3 contributor: fullname: GS Ferzli – volume: 33 start-page: 109 issue: 2 year: 2008 ident: 972_CR6 publication-title: Reg Anesth Pain Med contributor: fullname: L Kirchmair – volume: 93 start-page: 73 issue: 1 year: 1991 ident: 972_CR2 publication-title: Clin Neurol Neurosurg doi: 10.1016/0303-8467(91)90014-G contributor: fullname: C Bischoff – volume: 13 start-page: 343 issue: 4 year: 2009 ident: 972_CR9 publication-title: Hernia doi: 10.1007/s10029-009-0529-7 contributor: fullname: MP Simons – volume: 92 start-page: 795 issue: 7 year: 2005 ident: 972_CR15 publication-title: Br J Surg doi: 10.1002/bjs.5103 contributor: fullname: E Aasvang – volume: 15 start-page: 239 issue: 3 year: 2011 ident: 972_CR10 publication-title: Hernia doi: 10.1007/s10029-011-0798-9 contributor: fullname: S Alfieri – volume: 17 start-page: 1791 issue: 14 year: 2011 ident: 972_CR11 publication-title: World J Gastroenterol doi: 10.3748/wjg.v17.i14.1791 contributor: fullname: A Hakeem – volume: 100 start-page: 240 issue: 2 year: 2002 ident: 972_CR5 publication-title: Obstet Gynecol doi: 10.1016/S0029-7844(02)02052-5 contributor: fullname: RJ Cardosi – volume: 53 start-page: 152 issue: 2 year: 1994 ident: 972_CR1 publication-title: Gynecol Oncol doi: 10.1006/gyno.1994.1108 contributor: fullname: SA Vasilev – volume: 119 start-page: 93 issue: 3 year: 1997 ident: 972_CR3 publication-title: Zentralbl Gynakol contributor: fullname: A Lindner – volume: 10 start-page: 457 year: 2006 ident: 972_CR14 publication-title: JSLS contributor: fullname: CA Koch |
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| SubjectTerms | Abdominal Surgery Case Report Hernia, Inguinal - surgery Herniorrhaphy - adverse effects Herniorrhaphy - instrumentation Herniorrhaphy - methods Humans Laparoscopy - adverse effects Laparoscopy - instrumentation Laparoscopy - methods Male Medicine Medicine & Public Health Middle Aged Obturator Nerve - injuries Peripheral Nerve Injuries - diagnosis Peripheral Nerve Injuries - etiology Surgical Mesh |
| Title | Obturator nerve injury in laparoscopic inguinal hernia mesh repair |
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