ENTRAPMENT NEUROPATHY IN LAPAROSCOPIC HERNIORRHAPHY

被引:88
作者
SEID, AS
AMOS, E
机构
[1] Saint John's Hospital and Health Center, Santa Monica, 90404, CA, 2001 Santa Monica Boulevard
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1994年 / 8卷 / 09期
关键词
LAPAROSCOPIC HERNIORRHAPHY; ENTRAPMENT NEUROPATHY; PROSTHETIC MESH; LUMBAR PLEXUS; ANATOMY;
D O I
10.1007/BF00705717
中图分类号
R61 [外科手术学];
学科分类号
摘要
In laparoscopic hernia repairs, the staples used to affix prosthetic mesh have resulted in entrapment neuropathies. This paper describes the diagnosis and treatment of nine cases of entrapment neuropathy. Injuries to all the branches of the lumbar plexus, with the exception of the obdurator nerve, have been treated. Generally, the entrapments are self-limiting, but chronic disability requiring surgical intervention can occur. Staple removal and neurolysis controlled the severe, chronic pain of one femoral nerve entrapment. A thorough understanding of the anatomy of these nerves can prevent stapling in the areas of danger and thus greatly reduce the incidence of this complication.
引用
收藏
页码:1050 / 1053
页数:4
相关论文
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