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2005, Number 1

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Acta Med 2005; 3 (1)

Low body weight as a risk factor in crural nerve injury secondary to abdominal hysterectomy

Domínguez CLG, Gama PR

Language: Spanish
References: 24
Page: 19-24
PDF size: 65.32 Kb.


ABSTRACT

Objective: Observational, retrospective and comparative study aimed to determine if low body weight is a risk factor of the crural nerve lesion during abdominal hysterectomy. Material and methods: Patients: 25 cases with crural nerve lesion after abdominal hysterectomy. Control Group (CG): 200 patients with hysterectomy by the same surgeons without crural nerve injury. Main outcome measures: Body weight, stature, ideal weight and body mass index, evolution time, electromyography study, surgical time, side distribution, and incision type and surgeons experience. Results: The sample showed age like mean and standard distribution 44.6 kg ± 2.4 years; body weight (mean and SD) 57.1 ± 4.4 kg; stature (mean and SD) 165 ± 3.5 cm; ideal weight calculated was higher than real weight in 92% of cases (n = 23), p = 0.05, with range 0.9 to 7.6% and just in two cases (8%) it was lower; evolution time presented a range from 8 to 20 weeks (mean = 12); distribution showed: right (n = 15) 60%; left (n = 9) 36%; bilateral lesion 1 case; the surgical incision used was Pfannenstiel type in 84% of cases (n = 21) and the surgical time like mean was 90 minutes, surgeons experience was = 16.7 years with range 7 to 25 years. In CG there was difference only in body weight with mean and SD of 67.100 ± 6.560 kg (p = 0.05). Conclusion: The low body weight is a risk factor of crural nerve lesion during abdominal hysterectomy.


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