http://dx.doi.org/10.1007/s10029-009-0473-6
scopus: cited 6 times
web of science: cited 4 times
Abdominal wall paresis as a complication of laparoscopic surgery
October 2009
Article
| Related Files |
|---|
View PDF Version
(200812030010356.pdf, 0.3MB) |
|
Redirect to publisher's version
(publisher's version.url.txt, 43 bytes) |
Purpose: Abdominal wall nerve injury as a result of trocar placement for laparoscopic surgery is rare. We intend to discuss causes of abdominal wall paresis as well as relevant anatomy. Methods: A review of the nerve supply of the abdominal wall is illustrated with a rare case of a patient presenting with paresis of the internal oblique muscle due to a trocar lesion of the right iliohypogastric nerve after laparoscopic appendectomy. Results: Trocar placement in the upper lateral abdomen can damage the subcostal nerve (Th12), caudal intercostal nerves (Th7-11) and ventral rami of the thoracic nerves (Th7-12). Trocar placement in the lower abdomen can damage the ilioinguinal (L1 or L2) and iliohypogastric nerves (Th12-L1). Pareses of abdominal muscles due to trocar placement are rare due to overlap in innervation and relatively small sizes of trocar incisions. Conclusion: Knowledge of the anatomy of the abdominal wall is mandatory in order to avoid the injury of important structures during trocar placement.
- nerve
- muscle
- hernia
- iliohypogastric
- surgery
- trocar placement
- trocar
- right
- injury
- iliohypogastric nerves
- patient
- wall paresis
- ilioinguinal
- anatomy
- paresi
- placement
- laparoscopic
- innervation
- incisional hernia
- abdomen
