Introduction/Background To present prevalance of obturator nerve injury, quality of life measures, level sensory and motor dysfunction of adductor muscle and inner thight area, dysability in postoperative period and to discuss the effectiveness of conservative approach in patients whose unilateral obturator nerve injured inadvertently during laparoscopic pelvic lymphadenectomy in patients with gynecologic cancer.

Methodology Case series

Results Between 2019 and 2023 we performed 220 pelvic lymphadenectomy procedures. 136 cases (61.8%) were laparoscopies. In 9 cases obturator nerve was injured (0.04%). In 9 patients, the injury occurred during the laparoscopic lymphadenectomy due to an endometrial carcinoma, in which immediate endoscopic treatment was not proceeded. Despite this, the patients did not experience any sensitive or functional impairment following surgery or 12 months thereafter. In light of the fact that the patients did not exhibit any symptoms of nerve damage, we forgo the idea of treating the injured nerve immediately during surgery.

Conclusion Our case series demonstrated that inadvertent injury to the obturator nerve during laparoscopic gynecologic cancer surgeries is a rare complication and walking difficulty resulting from non-repair of these nerve injuries is negligible. Therefore we have forgo the idea of immediate nerve repair during laparoscopic lymphadenectomy.

Disclosures Authors have no potential conflict(s) of interest to report.