+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Postoperative neuropathies after major pelvic surgery

Postoperative neuropathies after major pelvic surgery

Obstetrics & Gynecology 100(2): 240-244

OBJECTIVE: To estimate the incidence, etiology, and outcome of neuropathies after major gynecologic surgery and to recommend management and prevention strategies for these complications. METHODS: The medical records of women who suffered neuropathy after major pelvic surgery between July 1995 and June 2001 were reviewed. Mechanism of injury, treatment, and outcome were determined from the patient charts. RESULTS: Twenty-three of 1210 patients undergoing major pelvic surgery during the defined period suffered a postoperative neuropathy for an incidence of 1.9%. Neurologic injury involved the obturator (n = 9), ilioinguinal/iliohypogastric (n = 5), genitofemoral (n = 4), femoral (n = 3), and lumbosacral nerve plexus (n = 2) in these women. Etiologies were a result of direct surgical trauma, stretch injury, suture entrapment, or were retractor related. All patients with motor deficits were treated with physiotherapy, and pharmacologic or surgical management was used in women with sensory deficits or pain. Seventy-three percent of the women experienced full recovery; the only patients with persistent symptoms were those with unrepaired nerve transection or injury to the lumbosacral plexus. Both time to diagnosis and time to resolution varied widely. CONCLUSION: Neuropathies are infrequently associated with major pelvic surgery. We observed a 73% complete recovery rate, and time to resolution varied depending on the severity of injury. Physical therapy plays a valuable role in managing these patients, but some may require surgery for relief of their symptoms.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 011174815

Download citation: RISBibTeXText

PMID: 12151144

DOI: 10.1016/s0029-7844(02)02052-5

Related references

Postoperative Neuropathies After Major Pelvic Surgery. Obstetrics & Gynecology 100(2): 240-244, 2002

Risk of postoperative pelvic abscess in major gynecologic oncology surgery: one-year single-institution experience. Annals of Surgical Oncology 17(9): 2452-2458, 2010

Postoperative Investigations Resulting in Cost Reduction in Oncological Patients Undergoing Major Abdominal and Pelvic Surgery. Chirurgia 112(6): 683-689, 2018

Caudal anaesthesia reduces the postoperative opiate requirements in minor anal surgery but has no analgesic benefit in major pelvic operations. Digestive Surgery 9(1): 31-34, 1992

Neuropathies associated with radical pelvic surgery for gynecologic cancer. Gynecologic Oncology 31(3): 462-466, 1988

Postoperative peripheral neuropathies in general surgery. Zentralblatt für Chirurgie 125(5): 459-463, 2000

Smaller pelvic volume is associated with postoperative infection after pelvic salvage surgery for recurrent malignancy. American Journal of Surgery 208(6): 1016-22; Discussion 1021-2, 2014

A left inferior vena cava associated with pelvic vein malformations: a major pitfall of pelvic surgery. Journal of Obstetrics and Gynaecology 20(4): 440-441, 2000

Early postoperative ulnar neuropathies following coronary artery bypass surgery. Muscle and Nerve 15(6): 701-705, 1992

Intraperitoneal cytokine response after major surgery: higher postoperative intraperitoneal versus systemic cytokine levels suggest the gastrointestinal tract as the major source of the postoperative inflammatory reaction. American Journal of Surgery 187(3): 372-377, 2004

Relation between the immediate postoperative hypoxemia and postoperative complications in major abdominal and thoracic surgery. European Journal of Anaesthesiology 30: 86-86, 2013

Postoperative infusional continuous regional analgesia. A technique for relief of postoperative pain following major extremity surgery. Clinical Orthopaedics and Related Research 1991(266): 227-237, 1991

Postoperative and preincisional electrical nerve stimulation TENS reduce postoperative opioid requirement after major spinal surgery. Journal of Neurosurgical Anesthesiology 22(1): 1-5, 2010

Obliterative Surgery for the Treatment of Pelvic Organ Prolapse: A Patient Survey on Reasons for Surgery Selection and Postoperative Decision Regret and Satisfaction. Female Pelvic Medicine and Reconstructive Surgery 21(6): 325-331, 2016

Postoperative rupture of major vessels after radical pelvic operation. American Journal of Obstetrics and Gynecology 80: 485-489, 1960