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Meralgia paresthetica following bariatric surgery
1Department of Surgery, North Florida Regional Medical Center, Gainesville, USA. alec@atlantic.net
Background:
Two papers in the literature have described meralgia paresthetica following bariatric surgery. One author ascribed the cause of the condition to pressure from an abdominal retractor. We encountered 11 similar cases in our bariatric surgery practice, but do not use the retractor previously invoked as the cause of the problem. It seems likely that some other factor is involved.
Methods:
Retrospective chart review.
Results:
11 patients were identified whose symptoms and clinical findings were consistent with meralgia paresthetica. There were 6 men and 5 women. Symptoms developed immediately following surgery in 8 cases, and resolved spontaneously within 3 months in 6 of these.
Conclusions:
Multiple causes have been described for meralgia paresthetica. It appears to be more common in obese patients. While extrinsic pressure from an abdominal retractor may play a role in some cases, other factors are clearly involved in the cases reported here.
Insights
Meralgia paresthetica, a nerve condition, can occur after bariatric surgery. This study identifies 11 cases, suggesting factors beyond abdominal retractors may cause this common issue in obese patients.
Area of Science:
- Bariatric Surgery Outcomes
- Neurology
- Surgical Complications
Background:
- Meralgia paresthetica following bariatric surgery has been previously reported.
- A specific cause involving abdominal retractors was proposed in prior literature.
- This study investigates 11 new cases where the previously implicated retractor was not used.
Purpose of the Study:
- To identify and analyze cases of meralgia paresthetica occurring after bariatric surgery.
- To explore potential causes of meralgia paresthetica in the absence of abdominal retractor use.
Main Methods:
- Retrospective review of patient charts.
- Identification of cases with symptoms and clinical findings consistent with meralgia paresthetica.
Main Results:
- Eleven patients (6 male, 5 female) were identified with meralgia paresthetica post-bariatric surgery.
- Symptoms onset was immediate in 8 patients.
- Spontaneous resolution occurred within 3 months in 6 of the affected patients.
Conclusions:
- Meralgia paresthetica is observed following bariatric surgery.
- While abdominal retractors can be a cause, other factors are implicated in these cases.
- The condition appears more prevalent in obese individuals.
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