婦人科手術体位と術後の下肢神経障害

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タイトル別名
  • Femoral Nerve Paralysis Following Gynecological Operation in the Lithotomy Position.

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We studied the incidence of femoral nerve paralysis following combined general and epidural anesthesia in 343 patients who underwent gynecological operation in the lithotomy position. Femoral nerve paralysis was found in 11 cases (3%). It occurred in 8 cases (5%) when the inguinal ligaments were hyperextended in the flat lithotomy position, and the incidence was significantly (p<0.05) reduced to 3 cases (2%) when the position was corrected.<br>We have concluded that avoiding hyperextension of the inguinal ligaments is important to reduce the incidence of femoral nerve paralysis after gynecological operation in the lithotomy position.

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