Article Text

Download PDFPDF
EP570 Obturator nerve section during laparoscopic pelvic lymphadenectomy, what to do?
  1. C Martín Blanco1,
  2. C Del Valle Rubido1,
  3. E Cabezas López1,
  4. B Pérez Mies2,
  5. E Moratalla Bartolomé1,
  6. MC Sánchez Martínez1 and
  7. J Lázaro-Carrasco de la Fuente1
  1. 1Gynecology and Obstetrics Department
  2. 2Anatomical and Pathology Department, Ramon y Cajal Universitary Hospital, Madrid, Spain


Introduction/Background The injury of the obturator nerve during pelvic oncologic surgery can be a stressful and unexpected complication during otherwise successful surgery. Injuries of obturator nerve can produce numbness or pain of the inner thigh or groin and weakened adduction of the thigh. The immediate repair of a freshly transected nerve can be done successfully, with good postoperative results.

Methodology We present a case of patient with an endometrial cancer who suffered an obturator nerve section during laparoscopic comprehensive surgical staging surgery.

Results The patient was a 57 year old women with a serous carcinoma of the endometrium who underwent comprehensive staging surgery. During the dissection of right pelvic lymphadenectomy, the obturator nerve was unintentionally sectioned at the level of the common iliac artery bifurcation. The defect was repaired by end-to-end suture with 5-0 prolene and tissucol sealant was added to reinforce de union. The patient did not developed any functional deficiency and the neurophysiological study performed after showed a complete recovery of the nerve.

Conclusion Immediate repair of the obturator nerve by laparoscopic suture is a good solution with good postoperative results, in cases of nerve section during laparoscopic pelvic lymphadenectomy.

Disclosure Nothing to disclose.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.