title: Obturator nerve injury in laparoscopic inguinal hernia mesh repair.
abstract: Injury to pelvic nerves during laparoscopy mostly occurs in gynecological and urological procedures. In abdominal surgery, these complications are infrequent. We present a case report of a patient who suffered a rare obturator nerve injury during a laparoscopic hernioplasty caused by clipping the nerve to the edge of the mesh. After revision and release of nerve from the clip and scars tissue, the associated pain rapidly disappeared and thigh adduction strength improved. Now, 4 years later, MRI and EMG show no sign of nerve compression.
authors: 3rd Faculty of Medicine, Department of Neurosurgery, Hospital Kralovske Vinohrady, Charles University, Srobarova 50, 100 34, Prague, Czech Republic, pavel.haninec@fnkv.cz.
authors: P
authors: P
authors: Haninec
authors: L
authors: L
authors: Horak
authors: R
authors: R
authors: Kaiser
mesh_terms: D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D008297:Male; D008875:Middle Aged; D009776:Obturator Nerve / Q000293:injuries*; D059348:Peripheral Nerve Injuries / Q000175:diagnosis / Q000209:etiology*; D013526:Surgical Mesh