American Journal of Obstetrics & Gynecology
Volume 201, Issue 5 , Pages 531.e1-531.e7 , November 2009

Pelvic nerve injury following gynecologic surgery: a prospective cohort study

Presented at the 35th Annual Scientific Meeting of the Society of Gynecologic Surgeons, New Orleans, LA, March 30-April 1, 2009.

  • Justin C. Bohrer, MD

      Affiliations

    • OB/GYN & Women's Health Institute of the Cleveland Clinic, Cleveland, OH
    • ,
  • Mark D. Walters, MD

      Affiliations

    • OB/GYN & Women's Health Institute of the Cleveland Clinic, Cleveland, OH
    • ,
  • Amy Park, MD

      Affiliations

    • OB/GYN & Women's Health Institute of the Cleveland Clinic, Cleveland, OH
    • ,
  • David Polston, MD

      Affiliations

    • Neurologic Institute of the Cleveland Clinic, Cleveland, OH
    • ,
  • Matthew D. Barber, MD, MHS

      Affiliations

    • OB/GYN & Women's Health Institute of the Cleveland Clinic, Cleveland, OH

Received 28 December 2008 ,Revised 13 May 2009 ,Accepted 7 July 2009.

References 

  1. Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain: risk factors and prevention. Lancet. 2006;367:1618–1625
  2. Rafii A, Querleu D. Laparoscopic obturator nerve neurolysis after pelvic lymphadenectomy. J Minim Invasive Gynecol. 2006;13:17–19
  3. Warner MA, Warner DO, Harper CM, Schroeder DR, Maxson PM. Lower extremity neuropathies associated with lithotomy positions. Anesthesiology. 2000;93:938–942
  4. Sorenson EJ, Chen JJ, Daube JR. Obturator neuropathy: causes and outcome. Muscle Nerve. 2002;25:605–607
  5. Vervest HA, Bongers MY, van der Wurff AA. Nerve injury: an exceptional cause of pain after TVT. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17:665–667
  6. Kvist-Poulsen H, Borel J. Iatrogenic femoral neuropathy subsequent to abdominal hysterectomy: incidence and prevention. Obstet Gynecol. 1982;60:516–520
  7. Hoffman MS, Roberts WS, Cavanagh D. Neuropathies associated with radical pelvic surgery for gynecologic cancer. Gynecol Oncol. 1988;31:462–466
  8. Cardosi RJ, Cox CS, Hoffman MS. Postoperative neuropathies after major pelvic surgery. Obstet Gynecol. 2002;100:240–244
  9. Hall WH, Ramachandran R, Narayan S, Jani AB, Vijayakumar S. An electronic application for rapidly calculating Charlson comorbidity score. BMC Cancer. 2004;4:94
  10. Goldman JA, Feldberg D, Dicker D, Samuel N, Dekel A. Femoral neuropathy subsequent to abdominal hysterectomy (A comparative study). Eur J Obstet Gynecol Reprod Biol. 1985;20:385–392
  11. Chan JK, Manetta A. Prevention of femoral nerve injuries in gynecologic surgery. Am J Obstet Gynecol. 2002;186:1–7
  12. Hopper CL, Baker JB. Bilateral femoral neuropathy complicating vaginal hysterectomy (Analysis of contributing factors in 3 patients). Obstet Gynecol. 1968;32:543–547
  13. Hsieh LF, Liaw ES, Cheng HY, Hong CZ. Bilateral femoral neuropathy after vaginal hysterectomy. Arch Phys Med Rehabil. 1998;79:1018–1021
  14. Ducic I, Dellon AL, Taylor NS. Decompression of the lateral femoral cutaneous nerve in the treatment of meralgia paresthetica. J Reconstr Microsurg. 2006;22:113–118
  15. O'Brien MD. Genitofemoral neuropathy. BMJ. 1979;1:1052
  16. Whiteside JL, Barber MD, Walters MD, Falcone T. Anatomy of ilioinguinal and iliohypogastric nerves in relation to trocar placement and low transverse incisions. Am J Obstet Gynecol. 2003;189:1574–1578discussion 8
  17. Burkhart FL, Daly JW. Sciatic and peroneal nerve injury: a complication of vaginal operations. Obstet Gynecol. 1966;28:99–102
  18. Parks BJ. Postoperative peripheral neuropathies. Surgery. 1973;74:348–357

 Reprints not available from the author.

 Cite this article as: Bohrer JC, Walters MD, Park A, et al. Pelvic nerve injury following gynecologic surgery: a prospective cohort study. Am J Obstet Gynecol 2009;201:531.e1-7.

PII: S0002-9378(09)00787-X

doi: 10.1016/j.ajog.2009.07.023

American Journal of Obstetrics & Gynecology
Volume 201, Issue 5 , Pages 531.e1-531.e7 , November 2009

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