Seid A S, Amos E
Saint John's Hospital and Health Center, Santa Monica, CA 90404.
Surg Endosc. 1994 Sep;8(9):1050-3. doi: 10.1007/BF00705717.
In laparoscopic hernia repairs, the staples used to affix prosthetic mesh have resulted in entrapment neuropathies. This paper describes the diagnosis and treatment of nine cases of entrapment neuropathy. Injuries to all the branches of the lumbar plexus, with the exception of the obdurator nerve, have been treated. Generally, the entrapments are self-limiting, but chronic disability requiring surgical intervention can occur. Staple removal and neurolysis controlled the severe, chronic pain of one femoral nerve entrapment. A thorough understanding of the anatomy of these nerves can prevent stapling in the areas of danger and thus greatly reduce the incidence of this complication.
在腹腔镜疝修补术中，用于固定人工补片的吻合钉已导致卡压性神经病变。本文描述了9例卡压性神经病变的诊断和治疗情况。除闭孔神经外，腰丛的所有分支损伤均已得到治疗。一般来说，这种卡压是自限性的，但也可能出现需要手术干预的慢性残疾情况。取出吻合钉并进行神经松解控制了1例股神经卡压的严重慢性疼痛。对这些神经的解剖结构有透彻的了解可以避免在危险区域使用吻合钉，从而大大降低这种并发症的发生率。
