caa a22 4500 445363592 CHVBK 20180317142922.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s10397-010-0570-7 doi (NATIONALLICENCE)springer-10.1007/s10397-010-0570-7 Lateral cutaneous nerve of the thigh injury during gynaecological laparoscopic procedure [Elektronische Daten] [G. Botros, J. Herod] This is a case report of a woman who developed severe meralgia paraesthetica due to an injury to the lateral cutaneous nerve of the thigh. The injury occurred during a laparoscopy and adhesiolysis procedure as a result of the positioning of one of the secondary ports close to the inguinal ligament. Symptoms were reported immediately after the procedure with tingling and numbness of the upper lateral aspect of the right thigh. The symptoms persisted for more than 3months and required strong regular analgesia. She continues to suffer significant neurological symptoms and is considering a nerve decompression procedure. The lateral cutaneous nerve of the thigh varies in its course in the abdominal wall. This is particularly variable while it crosses the inguinal ligament. Hence, any ports placed close to the inguinal ligament near to the anterior superior iliac spine may injure the nerve resulting in meralgia paraesthetica. Injury to the nerve has been reported in different types of procedures, e.g. laparoscopic inguinal hernia repair. We believe that it has not been reported previously after a gynaecological laparoscopic procedure. In this case report, we highlight the possibility of an injury to the lateral cutaneous nerve of the thigh during gynaecological laparoscopic procedures. We review the anatomy and the variations in the nerve's course that could lead to its injury during minimal invasive gynaecological operations. Springer-Verlag, 2010 Lateral cutaneous nerve of the thigh nationallicence Laparoscopy nationallicence Meralgia paraesthetica nationallicence Nerve injury nationallicence Botros G. Liverpool Women's Hospital, Crown Street, L8 7SS, Liverpool, UK aut Herod J. Liverpool Women's Hospital, Crown Street, L8 7SS, Liverpool, UK aut Gynecological Surgery Springer-Verlag 8/1(2011-02-01), 103-105 1613-2076 8:1<103 2011 8 10397 https://doi.org/10.1007/s10397-010-0570-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10397-010-0570-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Botros G. Liverpool Women's Hospital, Crown Street, L8 7SS, Liverpool, UK aut NATIONALLICENCE 700 1- Herod J. Liverpool Women's Hospital, Crown Street, L8 7SS, Liverpool, UK aut NATIONALLICENCE 773 0- Gynecological Surgery Springer-Verlag 8/1(2011-02-01), 103-105 1613-2076 8:1<103 2011 8 10397 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer