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Published on: October 25, 2024
Pelvic nerve injury following gynecologic surgery: a prospective cohort study
Justin C Bohrer1, Mark D Walters, Amy Park
1Women's Health Institute of the Cleveland Clinic, Cleveland, OH, USA.
Objective:
The purpose of this study was to determine the incidence and time course of postoperative neuropathy resulting from gynecologic surgery.
Study Design:
A single cohort of 616 female patients undergoing elective gynecologic surgery for benign or malignant conditions at a tertiary care academic medical center underwent a postoperative neurologic evaluation to identify postoperative neuropathy of the lower extremities.
Results:
Fourteen peripheral nerve injuries were observed in 11 patients, making the overall incidence of postoperative neuropathy 1.8% (95% confidence interval, 1.0-3.2). Injury to the lateral femoral cutaneous (5), femoral (5), common fibular (1), ilioinguinal/iliohypogastric (1), saphenous (1), and genitofemoral (1) nerves were detected. Complete resolution of neuropathic symptoms occurred in all but 1 patient (91%). Median time to resolution of symptoms was 31.5 days (range, 1 day to 6 months).
Conclusion:
The incidence of lower extremity neuropathy attributable to gynecologic operations is low, and these neuropathies resolve in the great majority of cases.
