2007
DOI: 10.1002/mus.20760
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Obturator neuropathy complicating elective laparoscopic tubal occlusion

Abstract: Isolated obturator neuropathy is rare. We report a woman who developed a severe obturator neuropathy from electrocautery during elective laparoscopic tubal ligation. This complication has not previously been described in association with the procedure, and the potential etiological role of an underrecognized anatomical variant, in which an accessory obturator nerve is present, is discussed.

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Cited by 10 publications
(3 citation statements)
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“…The ON can also be injured by orthopedic complications as a result of, for example, acetabular screw placement [25] or intrapelvic cement extrusion [26], as well as by gynecologic procedures such as laparoscopic tubal ligation [27]. A case of massive hemorrhage following OA injury associated with bladder perforation during transurethral bladder surgery has also been reported [28].…”
Section: Discussionmentioning
confidence: 99%
“…The ON can also be injured by orthopedic complications as a result of, for example, acetabular screw placement [25] or intrapelvic cement extrusion [26], as well as by gynecologic procedures such as laparoscopic tubal ligation [27]. A case of massive hemorrhage following OA injury associated with bladder perforation during transurethral bladder surgery has also been reported [28].…”
Section: Discussionmentioning
confidence: 99%
“…[14] The AON branching from the trunk of the obturator nerve (12.1%: Katritsis et al, [5] ) refutes the notion that it should be termed the accessory femoral nerve. Misidentification of the AON can lead to surgical complications such as those in a case reported by Jirsch and Chalk [20] , which demonstrated the importance of understanding these variations in surgical practice. In this case, the AON was thought to be the obturator nerve, which led to the obturator nerve being injured during elective laparoscopic tubal occlusion.…”
Section: Anatomymentioning
confidence: 92%
“…Pathological obturator nerve injury more commonly occurs as a direct result of pelvic surgery, including radical prostactectomy, gynaecological surgery and orthopaedic surgery [3][4][5][6]. Other causes include radiation damage, pelvic trauma, hip pathology, psoas abscesses and retroperitoneal haematoma especially in the context of anticoagulation therapy [7][8][9][10].…”
Section: Introductionmentioning
confidence: 99%