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Obturator nerve injuries during intra-abdominal surgery
1Department Clinical Neurophysiology, University of Goettingen, FRG.
Clinical Neurology and Neurosurgery
|January 1, 1991
Summary
Obturator neuropathy is rare but can occur after abdominal surgery. This study reports two cases, highlighting symptoms like thigh muscle weakness and sensory loss, aiding in diagnosis.
Area of Science:
- Neurology
- Surgical complications
Background:
- Obturator nerve lesions are infrequent.
- Abdominal surgery poses a risk for iatrogenic nerve injury.
Observation:
- Two patients developed obturator neuropathy post-abdominal surgery.
- A 48-year-old woman experienced bilateral symptoms after oophorectomy.
- A 65-year-old man presented with unilateral symptoms after aortofemoral bypass.
Findings:
- Patients exhibited adductor muscle weakness and sensory deficits in the medial thigh.
- Electromyographic findings were consistent with obturator neuropathy.
- The cases illustrate varied presentations of obturator nerve damage.
Implications:
- These cases emphasize the importance of considering obturator neuropathy in post-abdominal surgery patients.
- Understanding the symptomatology aids in differential diagnosis.
- Awareness of surgical risks can improve patient outcomes.