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Femoral neuropathy (FN) is a well-described complication of abdominal hysterectomy done through a Pfannenstiel incision. [1-5] Compression of the femoral nerve by a self-retaining retractor is thought to be causative, so careful positioning and padding of the retractor is advocated for prevention. [1,5] Since the vast majority of patients recover with time, treatment is expectant. [1,2,4,5]
We here describe what appears to be the only reported case of FN caused by inadvertent suturing of the femoral nerve in the course of abdominal hysterectomy.
Case report.
The patient was a 34-year-old slender woman with a history of drug and alcohol abuse and depression who underwent elective hysterectomy through a Pfannenstiel incision because of dysfunctional uterine bleeding. A self-retaining retractor was used. She awakened from the anesthetic complaining of severe right groin pain and of difficulty moving the leg. Neurologic examination …
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