Abstract
We report a case of femoral neuropathy caused by retractors used during operation. The patient (a 74-year-old woman) was scheduled for right hemicolectomy for cecum cancer, and anesthesia was maintained with nitrous oxide and sevoflurane in oxygen plus extradural anesthesia. After operation, the patient complained of hypesthesia in the anterolateral and medial area governed by the femoral nerve. Magnetic resonance imaging findings, were normal and the straight leg raising test was negative. After 2 months, the patient had completely recovered from the neurological symptoms. These manifestations were indicative of femoral neuropathy resulting from the pressure of large-bladed self-retraining retractors. It is important to include femoral neuropathy in the differential diagnosis of postoperative paralysis of the lower limb.
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References
Brown DL, Wedel DJ (1990) Epidural (and Caudal) Anesthesia. 3rd ed. Churchill Livingstone, New York, pp 1395–1402
Georgy FM (1975) Femoral neuropathy following abdominal hysterectomy. Am J Obstet Gynecol 123:819–822
Ruston FG, Politi VL (1958) Femoral nerve injury from abdominal retractors. Can Anaes Soc J 5:428–437
Rosenblum J, Schwartz GA, Bendler E (1966) Femoral neuropathy: A neurological complication of hysterectomy. JAMA 195:409–414
Mitsuya Y, Shima T, Yamamuro M, Nishioka K (1978) Femoral nerve paralysis after abdominal hysterectomy under continuous epidural analgesia (in Japanese with English abstract). Masui (Jpn J Anesthesiol) 27:749–753
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Mizoguchi, M., Tanaka, K. & Narita, M. Postoperative lower limb paralysis due to retractors. J Anesth 10, 225–226 (1996). https://doi.org/10.1007/BF02471396
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DOI: https://doi.org/10.1007/BF02471396