{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:44:25Z","timestamp":1790660665683,"version":"4.1.0"},"reference-count":16,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"2","license":[{"start":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T00:00:00Z","timestamp":1563840000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Colomb. Obstet. Ginecol."],"abstract":"<jats:p>Objetivo: presentar el caso de una lesio\u0301n del nervio obturador durante linfadenectomi\u0301a laparosco\u0301pica y su reparacio\u0301n por la misma vi\u0301a en el mismo tiempo quiru\u0301rgico, y realizar una revisio\u0301n de la literatura de la presentacio\u0301n de este tipo de lesiones, asi\u0301 como de la te\u0301cnica utilizada, el momento de su reparacio\u0301n y los resultados de la rehabilitacio\u0301n.\r\nMateriales y m\u00e9todos: se presenta el caso de una mujer de 29 an\u0303os atendida en el Instituto Nacional de Cancerologi\u0301a en Bogota\u0301, Colombia, con diagno\u0301stico cli\u0301nico de carcinoma escamocelular de ce\u0301rvix estadio Ib1, a quien se le practico\u0301 traquelectomi\u0301a radical ma\u0301s linfadenectomi\u0301a pe\u0301lvica bilateral por el deseo de preservar la fertilidad. Durante el procedimiento se advirtio\u0301 una seccio\u0301n completa del nervio obturador, la cual se reparo\u0301 inmediatamente por vi\u0301a laparosco\u0301pica. Se realizo\u0301 una bu\u0301squeda de la literatura en la base de datos Medline vi\u0301a PubMed. Los te\u0301rminos utilizados para la bu\u0301squeda fueron: \u201cObturator Nerve\u201d, \u201cLymph Node Excision\u201d, \u201cTrauma\u201d, \u201cNervous System\u201d. Se buscaron series y reportes de caso, cohortes y arti\u0301culos de revisio\u0301n desde 1968 hasta septiembre 2018. La bu\u0301squeda se limito\u0301 a idiomas espan\u0303ol e ingle\u0301s.\r\nResultados: se incluyeron ocho estudios, todos reportes de caso. Un total de seis de los casos presentaron seccio\u0301n completa del nervio advertida intraquiru\u0301rgicamente. En cuatro casos se realizo\u0301 la reparacio\u0301n por medio de anastomosis te\u0301rmino- terminal, tres casos con reconstruccio\u0301n utilizando injerto de nervio sural y un caso con neurolisis y anastomosis te\u0301rmino-terminal, todos por vi\u0301a laparosco\u0301pica. En el seguimiento a nueve meses, tres pacientes recuperaron totalmente la funcio\u0301n.\r\nConclusi\u00f3n: los estudios encontrados fueron reportes de caso, la lesio\u0301n ma\u0301s frecuente es la seccio\u0301n completa del nervio; se encuentran varia te\u0301cnicas de reparacio\u0301n del nervio. La recuperacio\u0301n al an\u0303o no es total en un importante nu\u0301mero de casos reportados.<\/jats:p>","DOI":"10.18597\/rcog.3168","type":"journal-article","created":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T14:24:06Z","timestamp":1563978246000},"page":"115-121","source":"Crossref","is-referenced-by-count":5,"title":["Lesi\u00f3n y reparaci\u00f3n laparosc\u00f3pica de nervio obturador en linfadenectom\u00eda laparosc\u00f3pica. 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