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Neurology (Expert Forum)
Iatrogenic femoral nerve damage.
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Iatrogenic femoral nerve damage.
by Dogman, Nov 09, 2002 12:00AM
18 months ago recieved femoral nerve damage at lumbar sacral plexus caused by 3 inch retractor blade during rectopexy and colposuspension. 5 months later underwent exploratory and decompression operation with marginal success . At present unable to walk or stand without knee brace . Experiencing neurological changes during sitting suggesting adhesions causing pressure on nerve . Further operation discussed with plastics surgeon involving release of adhesions and wrapping of the nerve in omentum . I am 52 years of age , female. Have you any information regardind this type of injury and proposed surgery.
Urgent reply please. I am worried that further damage may be occuring when sitting.
Urgent reply please. I am worried that further damage may be occuring when sitting.
Doctor's Answer
by CCF-Neuro-M.D.-JT, Nov 11, 2002 12:00AM
Unfortunately, we do see a number of cases like this in the clinic and EMG lab in which there is femoral nerve damage after a surgical procedure. Consider seeing a neurologist first to document what your neurological exam is now before any surgical intervention is done. Then, an EMG done by a formally trained physician will be helpful in evaluating the degree of nerve injury and potential improvement with surgery. If the nerve can be salvaged as determined by exam and EMG, the surgeon will likely do an exploratory surgery to look at the nerve, where it lies, what condition it's in,etc.. and remove any scar tissue. The exact procedure and technique really depends on what they find when they go in. There have been improvements in some cases after surgical exploration. Talk to your doctor about getting a neuro referral or at least an EMG. GOod luck.
