IATROGENIC FEMORAL NEUROPATHY SUBSEQUENT TO ABDOMINAL HYSTERECTOMY - INCIDENCE AND PREVENTION

  • 1 January 1982
    • journal article
    • research article
    • Vol. 60  (4) , 516-520
Abstract
In a prospective study femoral neuropathy occurred in 17 of 147 patients who underwent elective total abdominal hysterectomy, resulting in an overall incidence of 11.6%. The neuropathy was associated with the use of self-retaining retractors of various types. No other contributing factors were found. The duration of complaints ranged from 3-65 days. Spontaneous recovery did occur in 15 of 17 patients and, although residual sensory symptoms were noted in 2 patients, no serious sequelae were observed. Knowledge of the problem is mandatory for prevention. Careful use of any self-retaining retractor, especially one with large lateral blades, is recommended. Prognosis usually is fairly good.

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