[Sciatic neuropathy after pelvic floor repair].
After the surgical treatment of a recurrent enterocele and rectocele using a polypropylene implant, a patient developed a reversible paralysis. Haematoma was excluded. To search for the cause of the paralysis, polypropylene implants were inserted in four ethanol-preserved cadavers. Their dissection showed a safe distance at all points between the implant and the sciatic nerve. The patient's paralysis was most likely due to the lithotomy position, with an overstretching of the sciatic nerve during the intraoperative flexion of the hip joint.
Shiozawa
T
T
Abteilung für experimentelle Embryologie und Tissue Engineering, Anatomisches Institut, Universität Tübingen, Deutschland.
Reisenauer
C
C
D003937:Diagnosis, Differential; D005260:Female; D006547:Hernia / Q000150:complications; D059685:Herniorrhaphy; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor / Q000601:surgery*; D019736:Prostheses and Implants / Q000009:adverse effects*; D020426:Sciatic Neuropathy / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control