Nerve Injuries

Question 1

The most common type of nerve injury in obstetrics

Answer 1

Neuropraxial

To be compressed, heal spontaneously

Question 2

Recall
Most common nerve injury in gynecology

Answer 2

Femoral nerve 11%

Question 3

Recall
Most common nerve injury in obstetrics

Answer 3

Lateral cutaneous nerve of thigh

Question 4

When femoral nerve could be injured

Answer 4

In hysterectomy, the blades of long retractors can crush psoas muscles that contains FN

In lithotomy posiiton+ exaggerated lateral rotation and abduction, the nerve will be stretched against inguinal ligament

Question 5

Failure to climb stairs is what nerve injury

Answer 5

Femoral nerve,
as it supplies quadriceps muscle, the flexes the extended muscle, also responsible for knee jerk.
So absent knee jerk

Question 6

Longblade retractor
Innability to climb stairs
Absent knee jerk
Absent Anterior and medial aspect of thigh

Answer 6

Femoral nerve injury

Question 7

What could injure the obturator nerve

Answer 7

Its also in the Psoas muscle, so it could be injured by longblade retractor

Question 8

difference between ilioinguinal and iliohypogastric nerve injury

Answer 8

Both: d.t. wide CS incision to lateral borders of rectus muscle

Sensory loss:
Ilioninguinal: below SP
Iliohypogastric: above SP