Genito-femoral nerve entrapment: a complication of stapling the ureter during laparoscopic live donor nephrectomy.

Laparoscopic live donor nephrectomy is becoming increasingly popular and has been shown to be a safe and successful technique w1,2x. The reported complications of this new technique have included transient thigh paraesthesia w3x, although significant neurological injury has not yet been reported. Nerve injury is reported to have an incidence of 2% in laparoscopic hernia repair w4x, usually involving the femoral branch of the genitofemoral nerve and the lateral cutaneous nerve of the thigh. There has been a recent report of damage to the ilioinguinal nerve using a 5 mm tacking device w4x. The case presented involves a tacking injury to the genitofemoral nerve occurring during laparoscopic donor nephrectomy.