Reviews

Progress of treatment strategy after obturator nerve injury during pelvic lymph node dissection

  • Lingmin HE ,
  • Yunhao ZHANG ,
  • Xu SUN ,
  • Aobing. MEI
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  • *.Guizhou Medical University,Guiyang 550025,China
    *.Department of Urology,Jinyang Hospital Affiliated to Guizhou Medical University,the Second People's Hospital of Guiyang (Jinyang Hospital),Guiyang 550081,China

Received date: 2024-02-04

  Online published: 2024-07-30

Abstract

Obturator nerve injury (ONI) is a rare complication of pelvic lymph node dissection (PLND). Once ONI occurs, ipsilateral lower limb sensory and motor dysfunction occurs, even affecting daily life. During PLND operation, different types of obturator nerve injuries occur due to various injury mechanisms, and different repair strategies are available according to different injury types. The fundamental repair strategy is to restore the anatomical structure of obturator nerve. Timely intraoperative surgical repair, postoperative adjuvant drug or physical therapy, and the prognosis is good. The purpose of this article is to summarize the treatment and prevention of different types of ONI during PLND for prostate cancer and bladder cancer, which has guiding significance for urologists to avoid and treat ONI during PLND.

Cite this article

Lingmin HE , Yunhao ZHANG , Xu SUN , Aobing. MEI . Progress of treatment strategy after obturator nerve injury during pelvic lymph node dissection[J]. The Journal of Practical Medicine, 2024 , 40(15) : 2183 -2186 . DOI: 10.3969/j.issn.1006-5725.2024.15.024

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