Isolated Left Peroneal Neuropathy Following Total Laparoscopic Hysterectomy: A Case Report

Neuropathy of the lower extremities is a rare surgical complication, usually caused by compression, stretching, or direct injury to the nerve during the procedure. Although such injuries have been documented in relation to laparotomies, there are few reports concerning minimally invasive procedures. Here, we present the case of a 46-year-old woman with a long-standing history of abnormal uterine bleeding. Imaging studies revealed large uterine myomatosis, indicating the need for a total laparoscopic hysterectomy. During the immediate postoperative period, the patient developed a steppage gait and an inability to dorsiflex her left foot, which is consistent with peroneal nerve neuropathy. The clinical course and additional tests confirmed the diagnosis, and the patient made a progressive functional recovery following rehabilitation. This case highlights the importance of proper surgical positioning and ergonomic measures during laparoscopic surgery to prevent compressive nerve injuries, as well as the importance of early identification to promote favorable clinical outcomes.