Cases of obturator nerve injurie during oncology surgery in our Oncology Ginecology Department
| Tumor (FIGO stage) | Age | Primary treatment | Surgery and approach | Diagnosis | Treatment | Postoperative evolution |
|---|---|---|---|---|---|---|
| Clear cell borderline tumor (IA) | 40 | Surgery | Laparoscopic debulking surgery | Intraoperative | Intraoperative termino-terminal suture and rehabilitation | Postoperative immediate: monoparesia of the lower right extremity. Conserved sensitivity. Normal ambulation. 1 month postoperative: Right psoas 3/5, hip adductors 3/5. |
| Mucinous adenocarcinoma of the cervix (IIB) | 49 | RT-QMT | Laparoscopic radical pelvic and para-aortic lymphadenectomy | Intraoperative | Intraoperative termino-terminal suture and rehabilitation | Immediate postoperative: mild hypoesthesia in the right groin. Right adductors: force 4/5. 3 months postoperatory: normal. |
| Squamous carcinoma of the cervix (IIB) | 59 | RT-QMT | Laparoscopic radical pelvic and para-aortic lymphadenectomy | Intraoperative | Intraoperative termino-terminal suture and rehabilitation | Immediate postoperative: cramming of the proximal anterior left thigh. Paresia adduction left lower limb. 4 months postoperatory: normal |
| Synchronous tumor: endometrial adenocarcinoma and ovarian endometrioid adenocarcinoma (IC) | 48 | Surgery | Laparotomic radical hysterectomy, double adnexectomy, pelvic and para-aortic lymphadenectomy and omentectomy | Intraoperative | Intraoperative termino-terminal suture and rehabilitation | Fifteen months: pain. Hypoalgesia and hypoesthesia, of the anterior and lateral side of the right lower extremity. Motor difficulty for flexion and extension. |