2019
DOI: 10.3171/2018.7.jns18532
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Subcostal nerve injury after laparoscopic lipoma surgery: an unusual culprit for an unusual complication

Abstract: Endoscopic surgery has revolutionized the field of minimally invasive surgery. Nerve injury after laparoscopic surgery is presumably rare, with only scarce reports in the literature; however, the use of these techniques for new purposes presents the opportunity for novel complications. The authors report a case of subcostal nerve injury after an anterior laparoscopic approach to a posterior abdominal wall lipoma.A 62-year-old woman presented with a left abdominal flank bulge (pseudohernia) that developed after… Show more

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Cited by 3 publications
(7 citation statements)
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“…Gardner observed similar symptoms in 20% of patients after an abdominal aortic plasty performed by lateral retroperitoneal approach ( 22 ). Other authors described the clinical picture of pseudohernia after thoracoscopic removal of a Th9-Th10 meningioma ( 10 ).…”
Section: Discussionmentioning
confidence: 99%
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“…Gardner observed similar symptoms in 20% of patients after an abdominal aortic plasty performed by lateral retroperitoneal approach ( 22 ). Other authors described the clinical picture of pseudohernia after thoracoscopic removal of a Th9-Th10 meningioma ( 10 ).…”
Section: Discussionmentioning
confidence: 99%
“…Gardner observed similar symptoms in 20% of patients after an abdominal aortic plasty performed by lateral retroperitoneal approach (22). Other authors described the clinical picture of pseudohernia after thoracoscopic removal of a Th9-Th10 meningioma (10). The etiology of pseudohernias may be associated with infectious diseases, metabolic disorders complicated by neurological symptoms, iatrogenic (intraoperative denervation), or traumatic causes.…”
Section: Discussionmentioning
confidence: 99%
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“…Injury or compression of the subcostal nerve is commonly due to repeated squeezing of the nerve between the tips of the ribs and the iliac crest [13]. However, there have also been reports of iatrogenic injury of the subcostal nerve, such as during laparoscopic surgery for abdominal lipoma excision [14].…”
Section: Introductionmentioning
confidence: 99%