Nerve injuries associated with gynaecological surgery
Article first published online: 13 JAN 2014
© 2014 Royal College of Obstetricians and Gynaecologists
The Obstetrician & Gynaecologist
Volume 16, Issue 1, pages 29–36, January 2014
How to Cite
Nerve injuries associated with gynaecological surgery. The Obstetrician & Gynaecologist 2014;16:29–36., , , .
- Issue published online: 13 JAN 2014
- Article first published online: 13 JAN 2014
- Manuscript Accepted: 24 SEP 2013
- gynaecological surgery;
- nerve injury;
- Nerve injuries are a common complication of gynaecological surgery, occurring in 1.1–1.9% of cases.
- Patient mal-positioning, incorrect placement of self-retaining retractors, haematoma formation and direct nerve entrapment or transection are the primary causative factors in perioperative nerve injury.
- Nerves most commonly injured during surgery include the femoral, ilioinguinal, pudendal, obturator, lateral cutaneous, iliohypogastric and genitofemoral nerves.
- The majority of neuropathies resolve with conservative management and physiotherapy.
- Selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants and gamma-aminobutyric acid (GABA) antagonists are of significant benefit in managing painful neuropathies.
- To gain an overview of the spectrum of different neuropathies that may occur following pelvic surgery.
- To learn about safe surgical techniques in the prevention of postoperative neuropathies.
- To review the clinical anatomy of the lumbo-sacral and brachial plexuses.
- Neuropathies can cause considerable postoperative morbidity.
- Should neuropathies following gynaecology surgery be discussed routinely during consent taking?
- Neuropathies following surgery may have considerable medico-legal implications.