Surgical Film Library-Complications During Sentinel Lymph Node Mapping: Obturator Nerve Injury

Complications During Sentinel Lymph Node Mapping: Obturator Nerve Injury

Video Transcription

Video Summary

A 66-year-old cervical cancer patient (stage 1B1) underwent laparoscopic surgery where a near-complete section of the right obturator nerve occurred during sentinel node dissection. Neurallysis identified nerve ends, enabling a tension-free end-to-end epineural repair with 6-0 polypropylene sutures in the same procedure. Obturator nerve injury incidence is 0.5–2%, with few reports on repair techniques. Postoperative neurological assessment showed no motor deficits. The surgery continued with radical hysterectomy, lasting 267 minutes, and the patient was discharged on day three. Prompt recognition and laparoscopic nerve repair are feasible, emphasizing careful dissection and pelvic anatomy knowledge to prevent injury.

Asset Subtitle

Maria Darin, Argentina

Meta Tag

Procedure Type pelvic sentinel lymph node dissection

Route MIS-Laparoscopic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Laparoscopic

Pelvis

pelvic sentinel lymph node dissection

Expert

cervical cancer

obturator nerve injury

laparoscopic nerve repair

sentinel node dissection

radical hysterectomy

Maria Darin