geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Sciatic neuropathy after body contouring surgery in massive weight loss patients


, : Sciatic neuropathy after body contouring surgery in massive weight loss patients. Journal of Plastic, Reconstructive & Aesthetic Surgery 63(5): E454-E457

To date, obesity affects a substantial population in industrialised countries. Due to the increased awareness of obesity-related morbidity, efficient dietary regimens and the recent successes with bariatric surgery, there is now a high demand for body contouring surgery to correct skin abundancies after massive weight loss. The known risks for this type of surgery are mainly wound-healing complications, and, more rarely, thromboembolic or respiratory complications. We present two female patients (23 and 39 years of age) who, in spite of standard positioning and precautions, developed sciatic neuropathy after combined body contouring procedures, including abdominoplasty and inner thigh lift. Complete functional loss of the sciatic nerve was found by clinical and electroneurographic examination on the left side in patient one and bilaterally in patient two. Full nerve conductance recovery was obtained after 6 months in both patients. Although the occurrence of spontaneous neuropathies after heavy weight loss is well documented, this is the first report describing the appearance of such a phenomenon following body contouring surgery. One theoretical explanation may be the compression of the nerve during the semirecumbent positioning combined with hip flexion and abduction, which was required for abdominal closure and simultaneous access to the inner thighs. We advise to avoid this positioning and to include the risk of sciatic neuropathy in the routine preoperative information of patients scheduled for body contouring surgery after heavy weight loss.

US$19.90

PMID: 19703796

DOI: 10.1016/j.bjps.2009.07.022


Other references

Gritsan N., 1996: Environmental geochemistry, mining wastes and hazard to nature of the south-east Ukraine. International Geological Congress, Abstracts = Congres Geologique International, Resumes: ol. 3; Pages 446. 1996.

Campbell Kathleen A.; Francis David A.; Collins Mike; Gregory Murray R.; Nelson Campbell S.; Greinert Jens; Aharon Paul, 2008: Hydrocarbon seep-carbonates of a Miocene forearc (East Coast Basin), North Island, New Zealand. An ancient hydrocarbon seep province of 14 isolated, authigenic carbonate deposits has been identified in fine-grained, deep-marine siliciclastic strata of the Miocene East Coast Basin, North Island, New Zealand. These forearc sediments have been...

Recio-Herrera, G., 1989: Contribution to the study of xylariaceae in cuba 5. some considerations of the xylaria polymorpha complex. X. polymorpha (Pers.:Fr.) Grev., X. schweinitzii Berk. et Curt. and X. ophiopoda Sacc. are considered three different species and two last are included in the X. polymorpha complex.

Vincent, M.; Guinet, R.; Piens, M.A.; Cordier, J.F.; Fournel, P.; Brune, J., 1984: Pulmonary mucormycosis. Apropos of a case with serologic confirmation. We report a new case of primary pulmonary mucormycosis. The radiographic evidence and anatomopathological facts demonstrate an intra-cavitary mycetoma of Fowler associated with a chronic pneumonia in the left basal segment. The patient was not imm...

Gliatto, J.M.; Bree, M.P.; Mello, N.K., 1990: Extraosseous osteosarcoma in a nonhuman primate (Macaca mulatta). A case of a very rare malignant bone-forming sarcoma, which was located in the soft tissue but had no anatomic attachment to bone, is presented. This tumor originated in the subcuticular tissue over the right scapula and was histologically compose...

Zoeller R.T.; Wolff R.S.; Koller K.J., 1988: Thyroid hormone regulation of messenger rna encoding thyrotropin tsh releasing hormone is independent of the pituitary gland and tsh. Cellular levels of mRNA encoding pro TRH in the rostral paraventricular nucleus are reduced by thyroid hormones. To determine whether this regulatory effect of thyroid hormones requires a functional pituitary gland or, specifically, TSH, we examin...

Hasselström, K.; Nilsson, L.A.; Wallerstedt, S., 1988: The predictive value of antimitochondrial antibodies in establishing the diagnosis of primary biliary cirrhosis. Primary biliary cirrhosis (PBC) was diagnosed in 85% of patients with anti-mitochondrial antibodies (AMA) found in sera routinely analyzed for autoantibodies. In these patients and in those without PBC other autoimmune disorders were common, but t...

Mackie, I.; Colquhoun, B., 1979: Death in the water. Australian Family Physician 8(2): 147-150

Noble, E., 1964: Ill In My Own Hospital. Nursing Times 60: 1610-1610

Lukasch, B.S., 1911: Annelida Polychaeta des Kola-Fjords I Fam Sabellidae. St Peterburg Travaux de la Societe des Naturalistes Sect Zool, 41: 1-78