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Re: Entrappped NerveFrom: dahmd@gate.netSun Jul 7 23:39:20 1996
I once did a vaginal hysterectomy and needle suspension (Raz) and the patient complained of a post-operative parathesia (mostly tingling) of the left thigh in the distribution of the obturator nerve. She has no muscle or sensory loss. I looked it up, and found a few references to this as an unusual complication of needle suspension procedures (probably due to either wide passage of the needles or suture "entrapement" of obturator nerve branches). It resolved over 3 weeks without specific therapy. I have seen a few patients with complaints of similar thigh and groin parathesias after c/section or hysterectomy via transverse incisions, and these also involved sensory, not motor, abnormalities and resolved over time. Thanks, Ashley D. Ashley Hill, M.D. dahmd@gate.net Florida Hospital Orlando, FL
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