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Published in: World Journal of Surgical Oncology 1/2012

Open Access 01-12-2012 | Case report

Laparoscopic injury of the obturator nerve during fertility-sparing procedure for cervical cancer

Authors: Enzo Ricciardi, Marina Jakimovska, Paolo Maniglio, Mauro Schimberni, Antonio Frega, Borut Kobal, Massimo Moscarini

Published in: World Journal of Surgical Oncology | Issue 1/2012

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Abstract

Background

Intraoperative injury of the obturator nerve has rarely been reported in patients with gynecological malignancies undergoing extensive radical surgeries. Irreversible damage of this nerve causes thigh paresthesia and claudication. Intraoperative repair may be done by end-to-end anastomosis or grafting when achieving tension-free anastomosis is not possible.

Case presentation

A 28-year-old woman with stage IB cervical cancer underwent fertility–sparing surgery, including conization and bilateral pelvic lymphadenectomy. The left obturator nerve was damaged intraoperatively during pelvic dissection.

Conclusion

Immediate laparoscopic repair was successful and there was no functional deficit in the left thigh for six months postoperatively.
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Metadata
Title
Laparoscopic injury of the obturator nerve during fertility-sparing procedure for cervical cancer
Authors
Enzo Ricciardi
Marina Jakimovska
Paolo Maniglio
Mauro Schimberni
Antonio Frega
Borut Kobal
Massimo Moscarini
Publication date
01-12-2012
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2012
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/1477-7819-10-177

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