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Bilateral sciatic nerve palsy following a bariatic operation.

Athar Yasin¹, Ameet G Patel

¹SHO, General Surgery, Department of Hepato-Biliary & Pancreatic Surgery, King's College Hospital, London, United Kingdom. ays_athar@yahoo.co.uk

Obesity Surgery

|September 27, 2007

Summary

Bilateral sciatic nerve palsy is a rare complication after laparoscopic sleeve gastrectomy, especially in super-super-obese patients. Early diagnosis and physiotherapy led to significant recovery in this case.

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Area of Science:

Neurology
Surgical Complications

Background:

Iatrogenic nerve injuries are uncommon following laparoscopic abdominal surgeries.
These injuries can lead to significant long-term disability.

Observation:

A rare case of bilateral sciatic nerve palsy occurred in a super-super-obese male (BMI 78.04 kg/m2) after a 7-hour laparoscopic sleeve gastrectomy.
Despite precautions, the patient developed bilateral sciatic nerve palsy.

Findings:

Nerve conduction studies confirmed denervation of L5/S1, diagnosing bilateral sciatic nerve palsy.
The patient demonstrated gradual recovery with physiotherapy.

Implications:

Prolonged laparoscopic procedures, particularly in morbidly obese patients, carry a risk of compressive nerve injuries.

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Such nerve injuries should be recognized as potential procedural complications.