Nerve injuries associated with gynaecological surgery 2014

Question 1

How common is neuropathy following gynae surgery?

Answer 1

1.1-1.9%

Question 2

Table summarising the pathophysiology and prognosis of:
- neuropraxia
- Axonotemsis
- Neurotemsis

Answer 2

Question 3

If pfannestiel incision extend beyond lateral margin of inferior rectus muscles, what nerves can be damaged?

Answer 3

Iliohypogastric
Ilioinguinal

Question 4

What % of women experience chronic pain after pfannenstiel inciosn?

Answer 4

7%

Question 5

Diagram of lumbosacral plexus

Answer 5

Question 6

For femoral nerve
- Origin
- Sensory function
- Motor function
- Clinical prevention

Answer 6

Question 7

For obturator nerve
- Origin
- Sensory function
- Motor function
- Clinical prevention

Answer 7

Question 8

For sciatic nerve
- Origin
- Sensory function
- Motor function
- Clinical prevention

Answer 8

Question 9

For common perineal nerve
- Origin
- Sensory function
- Motor function
- Clinical prevention

Answer 9

Question 10

For tibial nerve
- Origin
- Sensory function
- Motor function
- Clinical prevention

Answer 10

Question 11

For iliohypogastric
- Origin
- Sensory function
- Motor function
- Clinical prevention

Answer 11

Question 12

For inioinguional
- Origin
- Sensory function
- Motor function
- Clinical prevention

Answer 12

Question 13

For pudendal
- Origin
- Sensory function
- Motor function
- Clinical prevention

Answer 13

Question 14

For lateral cutaneous nerve
- Origin
- Sensory function
- Motor function
- Clinical prevention

Answer 14

Question 15

For gentiofemoral
- Origin
- Sensory function
- Motor function
- Clinical prevention

Answer 15

Question 16

For ulnar
- Origin
- Sensory function
- Motor function
- Clinical prevention

Answer 16

Question 17

For radial nerve
- Origin
- Sensory function
- Motor function
- Clinical prevention

Answer 17

Question 18

For Erbs palsy
- Origin
- Sensory function
- Motor function
- Clinical prevention

Answer 18

Question 19

For Klumpkes palsy
- Origin
- Sensory function
- Motor function
- Clinical prevention

Answer 19

Question 20

What investigations can be used for suspect nerve injry

Answer 20

Detailed neuroexamiantion
Electromyographic study - best performed 3-4 week after point of suspicion as denervation is often delated

Question 21

Management nerve injury

Answer 21

Painful neuropathies - TCAs or GABA antagnost
Physoptherapy
If complete nerve transection - surgery