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Related Concept Videos

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Related Experiment Video

Updated: Jun 23, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

[Sciatic neuropathy after pelvic floor repair].

T Shiozawa1, C Reisenauer

  • 1Abteilung für experimentelle Embryologie und Tissue Engineering, Anatomisches Institut, Universität Tübingen, Deutschland.

Der Urologe. Ausg. A
|May 22, 2009
PubMed
Summary

A patient experienced reversible paralysis after surgery for enterocele and rectocele repair with a polypropylene implant. The paralysis was likely caused by sciatic nerve overstretching due to the lithotomy position, not the implant itself.

Related Experiment Videos

Last Updated: Jun 23, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Area of Science:

  • Surgical repair of pelvic organ prolapse
  • Nerve injury in surgical procedures
  • Biomaterial safety in pelvic reconstructive surgery

Background:

  • Recurrent enterocele and rectocele necessitate surgical intervention, often involving polypropylene implants.
  • Postoperative complications, such as nerve paralysis, require thorough investigation to determine etiology.

Observation:

  • A patient developed reversible paralysis following polypropylene implant use for enterocele and rectocele repair.
  • Hematoma was ruled out as the cause of paralysis.

Findings:

  • Cadaveric dissection revealed no proximity between polypropylene implants and the sciatic nerve.
  • The patient's paralysis is hypothesized to stem from sciatic nerve overstretching induced by hip flexion in the lithotomy position during surgery.

Implications:

  • This finding suggests that surgical positioning, rather than the polypropylene implant, may be a risk factor for sciatic nerve injury in these procedures.
  • Careful patient positioning and intraoperative monitoring are crucial to prevent nerve-related complications during pelvic reconstructive surgery.