Obturator Nerve Injury: An Infrequent Complication of TOT Procedure

Aydoğmuş, Serpil; Kelekçi, Sefa; Aydoğmuş, Hüseyin; Ekmekçi, Emre; Seçıl, Yaprak; Türe, Sabiha

doi:10.1155/2014/290382

Cited by 10 publications

(5 citation statements)

References 11 publications

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“…Although computed tomography (CT) and magnetic resonance imaging (MRI) techniques are not highly specific, they can be applied for diagnostic purposes. [17] In the current cases, the level of the nerve injury was identified with EMG after primary repair and at subsequent follow-up examinations EMG was again applied. The patients received medical treatment and physiotherapy when necessary.…”

Section: Discussionmentioning

confidence: 99%

Management of obturator nevre injury during pelvic lymph node dissection

Yıkılmaz

Öztürk

Hamidi

et al. 2019

Turkish Journal of Urology

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Obturator nerve injury can be prevented by having a comprehensive knowledge of pelvic anatomy, and avoiding the use of electrocautery during lymph node dissection. The repair should be performed as soon as possible, with a tension-free reapproximation of the ends, using electrophysiological tests with a multidisciplinary approach and benefit should be taken from physiotherapy and medical treatment when needed.

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Section: Discussionmentioning

confidence: 99%

Management of obturator nevre injury during pelvic lymph node dissection

Yıkılmaz

Öztürk

Hamidi

et al. 2019

Turkish Journal of Urology

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“…If perioperative injury is diagnosed, the damage should be immediately repaired with microsurgical technique. Nerve injury can also occur during mid-urethral sling operations, particularly the transobturator tape (TOT) procedure (Aydogmus et al 2014). Nerve injury presents postoperatively with loss of sensation over the inner thighs and motor loss in the hip adductors.…”

Section: Obturator Nervementioning

confidence: 99%

Diagnosis and Management of Delayed Postoperative Complications in Gynecology: Neuropathy, Wound Complications, Fistulae, Thromboembolism, Pelvic Organ Prolapse, and Cuff Complications

Dancz¹,

Shabalova²

2016

Handbook of Gynecology

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Surgical complications are an inevitable occurrence for any surgeon. Such complications may be a source of significant morbidity and even mortality. Delayed surgical complications typically present after the patient is discharged from the hospital. This chapter describes the presentation, evaluation, and management of the most common delayed postoperative complications. Delayed complications may be broadly categorized into those found in the early postoperative period and those in the later postoperative period. The first 2 weeks after surgery is a key time to evaluate and diagnose nerve injuries and wound complications, including infectious complications. Genital tract fistulae and thromboembolism may also present in this time period, but are also commonly seen in the first 3 months after surgery. Pelvic organ prolapse and cuff complications may present months to years after surgical intervention. The surgeon must be vigilant in the postoperative period for any sign of a delayed surgical complication, as prompt diagnosis and management is critical to minimize the effect upon the patient.

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“…[12] Obturator nerve injuries during TOT procedure have been reported in the literature. [13,14] When obturator nerve is injured, leg adduction will be restricted and the patient may not be able to walk independently because of the loss of motor strength. Low urinary tract injury is a very rare complication of TOT.…”

Section: Anatomic Complicationsmentioning

confidence: 99%

Anatomic transobturator tape (TOT) technique: clinical anatomic landmarks of obturator foramen on female cadavers

Hurі¹,

Ezer²,

Aydoğan³

et al. 2015

Anatomy

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In women, stress urinary incontinence is the most common subtype of urinary incontinence. Trans-obturator slings can be used for minimally invasive treatment of stress urinary incontinence. The aim of this procedure is to place the mesh through the obturator foramen and underneath the mid part of the urethra with minimal damage to surrounding tissues. There are remarkable variations in the bony architecture of the female pelvis, and this variability may have an important effect on sling operations. Understanding the surgical anatomy of the obturator foramen, pelvic floor and perineum is necessary to make a successful implantation of transobturator tape and minimize morbidity. Cadaveric dissections are helpful to demonstrate anatomic landmarks.

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Obturator Nerve Injury: An Infrequent Complication of TOT Procedure

Cited by 10 publications

References 11 publications

Management of obturator nevre injury during pelvic lymph node dissection

Management of obturator nevre injury during pelvic lymph node dissection

Diagnosis and Management of Delayed Postoperative Complications in Gynecology: Neuropathy, Wound Complications, Fistulae, Thromboembolism, Pelvic Organ Prolapse, and Cuff Complications

Anatomic transobturator tape (TOT) technique: clinical anatomic landmarks of obturator foramen on female cadavers

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