Femoral Nerve Palsy as a Complication of Vaginal Hysterectomy: Review of the World Literature

Dunnihoo, Dale R.; Huddleston, Harvey T.; North, Steve C.

doi:10.1089/gyn.1994.10.1

Cited by 15 publications

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Twelve descriptive reviews 1,3–5,9–17 were read during the exploratory phase of this study. They reported a gross estimate of neurological injuries and/or refer to previous studies with quantitative analysis.…”

Section: Resultsmentioning

confidence: 99%

Applying graph theory to improve the quality of scientific evidence from textual information: Neural injuries after gynaecologic pelvic surgery for genital prolapse and urinary incontinence

Indraccolo¹,

Losavio

Carone

2023

Neurourology and Urodynamics

View full text Add to dashboard Cite

To provide the overall rate for all types of neurologic iatrogenic injuries during urogynaecologic surgery from textual data. Methods: Systematic research focused on complications of gynaecologic surgery and neurologic injuries in abstracts. Keywords concerning complications (cluster A), unspecific; neurologic issues (cluster B); surgery (generic words) (cluster C); specific gynaecologic operations (cluster D); and specific gynaecologic operations for pelvic organ prolapse and urinary incontinence (cluster E) were extracted. Associations among clusters of keywords were assessed by using multiple runs of text-mining software Semantic Brand Score (SBS, https://semanticbrandscore.com/#primary). Association scores were converted into probabilities. The rate of neurologic complications in urogynaecologic surgery was calculated ("a priori" probability) by applying Bayes' theorem. Textual estimates of neurological injuries in urogynaecologic surgery are 0.035554 (95% confidence intervals 0.019607−0.0515001; no quantitative data were found). To test if the probability calculated on textual information was the same as quantitative data reports ("a posteriori" probability), the rate of neurologic complication of all gynaecologic surgery was calculated using a meta-analytics approach and was compared with the textual analysis value. Results: The rate of neurologic complications in gynaecologic surgery after meta-analytic data synthesis has been 0.016489 (95% confidence intervals 0.012163−0.022320), which is equal to the textual estimate (0.016889, 95% confidence intervals 0.019607−0.051501). Therefore, 0.035554 is a reliable likelihood to observe a neurologic complication in urogynaecologic surgery. Conclusion: Iatrogenic nerve injuries in urogynaecologic surgery are higher than whole gynaecologic surgery. Text-mining software SBS and probability conversion can provide reliable answers from overall scholars' opinions on unsolved clinical questions when better evidence is lacking.

show abstract

Section: Resultsmentioning

confidence: 99%

Applying graph theory to improve the quality of scientific evidence from textual information: Neural injuries after gynaecologic pelvic surgery for genital prolapse and urinary incontinence

Indraccolo¹,

Losavio

Carone

2023

Neurourology and Urodynamics

View full text Add to dashboard Cite

show abstract

“…5 to 7): " Avoid overextension of the ischiocrural musculature; hip flexion should not exceed > 90° [3]. Femoral neuropathy: Several gynecologic case studies have reported on femoral neuropathies after procedures in the lithotomy position [59], some of them caused by self-retaining retractor systems [60]. In each case, hip abduction and extreme hip flexion with external rotation were cited as increasing the risk of injury [61][62][63][64][65].…”

Section: 12mentioning

confidence: 99%

The Prevention of Positioning Injuries during Gynecologic Operations. Guideline of DGGG (S1-Level, AWMF Registry No. 015/077, February 2015)

Fleisch

Bremerich

Schulte‐Mattler

et al. 2015

Geburtshilfe Frauenheilkd

View full text Add to dashboard Cite

!Purpose: Official guideline published and coordinated by the German Society of Gynecology and Obstetrics (DGGG). Positioning injuries after lengthy gynecological procedures are rare, but the associated complications can be potentially serious for patients. Moreover, such injuries often lead to claims of malpractice and negligence requiring detailed medical investigation. To date, there are no binding evidence-based recommendations for the prevention of such injuries. Methods: This S1-guideline is the work of an interdisciplinary group of experts from a range of different professions who were commissioned by DGGG to carry out a systematic literature search of positioning injuries. Members of the participating scientific societies develop a consensus in an informal procedure. Afterwards the directorate of the scientific society approves the consensus. The recommendations cover: " responsibility, information provided to the patient, documentation " basic principles to prevent positioning injuries " prevention of specific types of positioning injuries such as injuries " of the upper extremities " of the lower extremities " injuries caused by high-frequency surgery " pressure ulcers caused by positioning " prevention of compartment syndrome " clinical monitoring and the diagnosis of positioning injuries

show abstract

Difficult Vaginal Hysterectomy

Seth

Malhotra

2017

Hysterectomy

View full text Add to dashboard Cite

Femoral Nerve Palsy as a Complication of Vaginal Hysterectomy: Review of the World Literature

Cited by 15 publications

References 7 publications

Applying graph theory to improve the quality of scientific evidence from textual information: Neural injuries after gynaecologic pelvic surgery for genital prolapse and urinary incontinence

Applying graph theory to improve the quality of scientific evidence from textual information: Neural injuries after gynaecologic pelvic surgery for genital prolapse and urinary incontinence

The Prevention of Positioning Injuries during Gynecologic Operations. Guideline of DGGG (S1-Level, AWMF Registry No. 015/077, February 2015)

Difficult Vaginal Hysterectomy

Contact Info

Product

Resources

About