Laparoscopic repair of segmental obturator nerve injury defect using an artificial nerve conduit: A case report
Obturator nerve injury is an uncommon complication frequently associated with pelvic gynecologic or urologic cancer surgery. It can lead to disability or adversely affect quality of life. Large segmental defects are particularly difficult to manage as the limited mobility of the nerve prevents tensi...
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| Veröffentlicht in: | The journal of obstetrics and gynaecology research 2021-11, Vol.47 (11), p.4118-4121 |
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| container_end_page | 4121 |
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| container_issue | 11 |
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| container_title | The journal of obstetrics and gynaecology research |
| container_volume | 47 |
| creator | Matsumoto, Tsuyoshi Banda, Chihena H. Kondo, Eiji Yoshida, Kenta Hirata, Toru Ikeda, Tomoaki Narushima, Mitsunaga |
| description | Obturator nerve injury is an uncommon complication frequently associated with pelvic gynecologic or urologic cancer surgery. It can lead to disability or adversely affect quality of life. Large segmental defects are particularly difficult to manage as the limited mobility of the nerve prevents tension‐free direct end‐to‐end anastomosis. A 36‐year‐old woman with cervical cancer underwent sentinel lymph node biopsy, laparoscopic radical hysterectomy, and bilateral adnexectomy. During the procedure, the sentinel lymph node (right obturator node) adherent to the obturator nerve was resected together with the nerve segment leaving a 3 cm defect. Immediate laparoscopic obturator nerve repair was performed using an artificial nerve conduit leading to successful recovery. We report this unique case due to rarity of large segmental obturator nerve defects and present laparoscopic nerve repair with artificial nerve conduits as a useful treatment alternative of these important injuries, without nerve donor site morbidity. |
| doi_str_mv | 10.1111/jog.14920 |
| format | Article |
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It can lead to disability or adversely affect quality of life. Large segmental defects are particularly difficult to manage as the limited mobility of the nerve prevents tension‐free direct end‐to‐end anastomosis. A 36‐year‐old woman with cervical cancer underwent sentinel lymph node biopsy, laparoscopic radical hysterectomy, and bilateral adnexectomy. During the procedure, the sentinel lymph node (right obturator node) adherent to the obturator nerve was resected together with the nerve segment leaving a 3 cm defect. Immediate laparoscopic obturator nerve repair was performed using an artificial nerve conduit leading to successful recovery. 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We report this unique case due to rarity of large segmental obturator nerve defects and present laparoscopic nerve repair with artificial nerve conduits as a useful treatment alternative of these important injuries, without nerve donor site morbidity.</description><subject>Anastomosis</subject><subject>artificial nerve conduit</subject><subject>Biopsy</subject><subject>Case reports</subject><subject>Cervical cancer</subject><subject>Hysterectomy</subject><subject>laparoscopic surgery</subject><subject>Laparoscopy</subject><subject>Lymph nodes</subject><subject>Lymphatic system</subject><subject>Morbidity</subject><subject>obturator nerve injury</subject><subject>pelvic lymphadenectomy</subject><subject>Quality of life</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kLFOwzAQhi0EEqUw8AaWmBjS2k5iN2xVBQVUqQvMkePeRa7aONgOqG-PIazccjd8_3_SR8gtZzOeZr537YwXlWBnZMKLQmVMlfI83XnBswVT8pJchbBnjKuKLybEbXSvvQvG9dZQD722njqkAdojdFEfqGvi4HV0nnbgP4Habj_4E90Bgol0CLZrqe6o9tGiNTYlRs64bjfY-ECX1OgAP93Ox2tygfoQ4OZvT8n70-Pb6jnbbNcvq-UmM7ngLBOYo8LKSM15kVcNGFZJzRagWS4UAqJUWOam3CkmpAZeqbIpUCAKI2Qj8ym5G3t77z4GCLHeu8F36WUtyopJVZaSJep-pExSEDxg3Xt71P5Uc1b_-Eyptv71mdj5yH7ZA5z-B-vX7XpMfANY1HiS</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Matsumoto, Tsuyoshi</creator><creator>Banda, Chihena H.</creator><creator>Kondo, Eiji</creator><creator>Yoshida, Kenta</creator><creator>Hirata, Toru</creator><creator>Ikeda, Tomoaki</creator><creator>Narushima, Mitsunaga</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TO</scope><scope>H94</scope><scope>K9.</scope></search><sort><creationdate>202111</creationdate><title>Laparoscopic repair of segmental obturator nerve injury defect using an artificial nerve conduit: A case report</title><author>Matsumoto, Tsuyoshi ; Banda, Chihena H. ; Kondo, Eiji ; Yoshida, Kenta ; Hirata, Toru ; Ikeda, Tomoaki ; Narushima, Mitsunaga</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3210-2f3f7f9c6a11439bec096a08ea0327feff67f53c5d7026ae1975b4f2ff2c26b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Anastomosis</topic><topic>artificial nerve conduit</topic><topic>Biopsy</topic><topic>Case reports</topic><topic>Cervical cancer</topic><topic>Hysterectomy</topic><topic>laparoscopic surgery</topic><topic>Laparoscopy</topic><topic>Lymph nodes</topic><topic>Lymphatic system</topic><topic>Morbidity</topic><topic>obturator nerve injury</topic><topic>pelvic lymphadenectomy</topic><topic>Quality of life</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matsumoto, Tsuyoshi</creatorcontrib><creatorcontrib>Banda, Chihena H.</creatorcontrib><creatorcontrib>Kondo, Eiji</creatorcontrib><creatorcontrib>Yoshida, Kenta</creatorcontrib><creatorcontrib>Hirata, Toru</creatorcontrib><creatorcontrib>Ikeda, Tomoaki</creatorcontrib><creatorcontrib>Narushima, Mitsunaga</creatorcontrib><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>The journal of obstetrics and gynaecology research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsumoto, Tsuyoshi</au><au>Banda, Chihena H.</au><au>Kondo, Eiji</au><au>Yoshida, Kenta</au><au>Hirata, Toru</au><au>Ikeda, Tomoaki</au><au>Narushima, Mitsunaga</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic repair of segmental obturator nerve injury defect using an artificial nerve conduit: A case report</atitle><jtitle>The journal of obstetrics and gynaecology research</jtitle><date>2021-11</date><risdate>2021</risdate><volume>47</volume><issue>11</issue><spage>4118</spage><epage>4121</epage><pages>4118-4121</pages><issn>1341-8076</issn><eissn>1447-0756</eissn><abstract>Obturator nerve injury is an uncommon complication frequently associated with pelvic gynecologic or urologic cancer surgery. 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We report this unique case due to rarity of large segmental obturator nerve defects and present laparoscopic nerve repair with artificial nerve conduits as a useful treatment alternative of these important injuries, without nerve donor site morbidity.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><doi>10.1111/jog.14920</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 1341-8076 |
| ispartof | The journal of obstetrics and gynaecology research, 2021-11, Vol.47 (11), p.4118-4121 |
| issn | 1341-8076 1447-0756 |
| language | eng |
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| source | Wiley Journals |
| subjects | Anastomosis artificial nerve conduit Biopsy Case reports Cervical cancer Hysterectomy laparoscopic surgery Laparoscopy Lymph nodes Lymphatic system Morbidity obturator nerve injury pelvic lymphadenectomy Quality of life |
| title | Laparoscopic repair of segmental obturator nerve injury defect using an artificial nerve conduit: A case report |
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