Iwao Atsuhiko, Yagi Maoko, Imamura Yoshinobu, Higashi Akihito, Moriuchi Yuki, Kashiyama Kazuya, Tanaka Katsumi
Department of Plastic and Reconstructive Surgery, Nagasaki University Hospital, Japan.
Gynecol Oncol Rep. 2022 Apr 13;41:100977. doi: 10.1016/j.gore.2022.100977. eCollection 2022 Jun.
We herein report three cases of obturator nerve injury, which is rare in gynecological surgery. In all cases, it was difficult to suture both nerve ends without tension. Therefore, we used a PGA-collagen tube to interpose the nerve defect. After follow-ups of at least seven months, all three patients were able to adduct the hip joint and medial thigh sensations also improved. These results suggest the potential of a PGA-collagen tube in the treatment of obturator nerve injury.
我们在此报告三例闭孔神经损伤病例，这在妇科手术中较为罕见。在所有病例中，无张力地缝合神经两端都很困难。因此，我们使用聚乙醇酸-胶原管来桥接神经缺损。经过至少七个月的随访，所有三名患者都能够内收髋关节，大腿内侧的感觉也有所改善。这些结果表明聚乙醇酸-胶原管在治疗闭孔神经损伤方面具有潜力。
