Obturator nerve injury: a review of management options

Obturator nerve injury in obstetrics/gynecology and gynecologic oncology is thought to be infrequent. The reported consequences of this injury vary in severity and management options have not been well described. The functional anatomy, dual adductor muscle innervation, and inconstant accessory obturator nerve presence help explain variable outcome following neurotmesis. Intraoperative management centers around epineurial repair with surgical loupe magnification. With the assistance of postoperative physiotherapy this approach leads to satisfactory results.