WOMENS-HEALTH Messages for April, 2000: Re: Accidental nerve damage during presacral neurectomy

Re: Accidental nerve damage during presacral neurectomy

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 3 Apr 2000 17:40:47 -0500 (CDT)

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In reply to: Alison: "Accidental nerve damage during presacral neurectomy"

At Sun, 2 Apr 2000, Alison wrote: >
>I was diagnosed with endometriosis two years ago through an operative
>laporoscopy. Endo was found on the left pelvic wall, the outside of the
>uterus and bladder, and the left ovary. All lesions were removed by
>excision except for the ovary which was lasered. After the pain did not
>respond to surgery I was put on Lupron for 6 months. During the six
>month course of Lupron I had very little, if any, pain. After being off
>of the Lupron for 3 months the pain returned. This time my doctor put
>me back on the Lupron and added Premarin. Three months into the
>Lupron/Premarin therapy I did not get relief. My doctor sugested a
>second lap, this time with a presacral neurectomy. I agreed hoping to
>end the pain that I was having during intercourse. I also decided that
>after the surgery was over my husband and I would try to get pregnant. I
>had the surgery on 3/21/00. The surgery itself was smooth. Two patches
>of endo were found (one on the left pelvic wall and the other on the
>left ovary) and the nerves were cut. A few days after surgery I noticed
>a dramatic difference in the temperature of my feet and some swelling.
>It was thought to be a blood clot but a doppler test was done and turned
>up negative. After a visit to a neurosurgeon it was found that the
>sympathetic nerve had been accidentally cut during the surgery. I am
>having a lot of pain in the leg. Is this normal?

This is a known complication of the procedure but is not common.

>How long does it take
>to heal?

That is best addressed to the neurosurgeon who had the ability to examine you.

>Has this happened to other people?

Yes, I'm sure. Nerve damage with endometriosis is a known risk and complication due to the scarring and dnese nature of endometriosis.

>How easy is the mistake to
>make during this type of surgery?

Answered above.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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