Laparoscopic injury of the obturator nerve during fertility-sparing procedure for cervical cancer

Laparoscopic injury of the obturator nerve during fertility-sparing procedure for cervical cancer

BACKGROUND Intraoperative injury of the obturator nerve has rarely been reported in patients with gynecological malignancies undergoing extensive radical surgeries. Irreversible damage of this nerve causes thigh paresthesia and claudication. Intraoperative repair may be done by end-to-end anastomosis or grafting when achieving tension-free anastomosis is not possible. CASE PRESENTATION A 28-y...

Laparoscopic Fertility Sparing Management of Cervical Cancer

laparoscopic fertility sparing management of cervical cancer

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Laparoscopic Fertility Sparing Management of Cervical Cancer

Fertility can be preserved after conservative cervical surgery. We report on a 29-year-old woman who was obese, para 0, and diagnosed with cervical insufficiency at the first trimester of current pregnancy due to a previous trachelectomy. She underwent laparoscopic transabdominal cervical cerclage (LTCC) for cervical cancer. The surgery was successful and she was discharged two days later. The ...

Obturator Nerve Injury: An Infrequent Complication of TOT Procedure

Transvaginal mid-urethral slings have become the most preferred surgical treatment option for female stress urinary incontinence. However, various complications have been reported for these operations occurring especially during penetration of the retropubic space. It can negatively affect patient's quality of life. Early treatment increases the chance of complete normalization of the functions...