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Sciatic neuropathy following robot-assisted laparoscopic myomectomy under lithotomy position: A case report
Jin Young Lee1, So Young Kwon1
1Department of Anesthesiology and Pain Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea. leejy7035@yahoo.co.kr.
Korean Journal of Anesthesiology
|January 11, 2019
Summary
Sciatic neuropathy is a rare risk after gynecologic surgery in the lithotomy position. Anesthesiologists must prevent nerve injuries, even when following guidelines, as prolonged surgery can cause compression.
Area of Science:
- Neurology
- Gynecologic Surgery
- Anesthesiology
Background:
- Sciatic neuropathy is an uncommon complication associated with gynecologic procedures performed in the lithotomy position.
- Anesthesiologists play a crucial role in preventing nerve injuries during these procedures.
Purpose of the Study:
- To report a case of sciatic neuropathy following robot-assisted laparoscopic myomectomy.
- To highlight the importance of considering nerve injury even when standard positioning guidelines are followed.
Main Methods:
- Case report of a patient who developed sciatic neuropathy post-robot-assisted laparoscopic myomectomy.
- Review of anesthetic management and patient positioning during the procedure.
Main Results:
- Postoperative sciatic neuropathy occurred despite adherence to recommended positioning guidelines.
- The prolonged duration of the surgery is a potential contributing factor.
Conclusions:
- Sciatic neuropathy is a rare but possible complication of gynecologic surgery in the lithotomy position.
- Anesthesiologists must maintain vigilance for potential nerve injuries, particularly in prolonged procedures.
- Compressive neuropathy should be considered in patients presenting with symptoms after extended operations.
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