PFD Week 2016-Robotic Excision of Suture Entrapment of the Lumbosacral Trunk

Robotic Excision of Suture Entrapment of the Lumbosacral Trunk

Video Transcription

Video Summary

In this video, the authors demonstrate a minimally invasive approach to excise a suture that got inadvertently placed in the lumbosacral plexus during sacrospinous ligament fixation. The patient, a 44-year-old female, experienced severe leg pain, gluteal pain, and foot drop after the procedure, with no improvement from physical therapy. Using careful dissection techniques, the authors locate and remove the suture, which was found to be encircling the superior gluteal artery and compressing it intermittently, causing the patient's symptoms. Postoperatively, the patient experienced improvement in foot drop, sensation, and buttock pain. The video concludes by highlighting the importance of considering suture removal in cases of persistent pain and neurologic deficits. No financial disclosures are made, and credit is given to the Mayo Clinic AV staff.

Asset Subtitle

Arpit Dave, MD

Meta Tag

Category Complications

Category Surgery - Robotic Procedures

Concept SSLF

Concept Lumbosacral Trunk

Concept Suture Entrapment

Concept Sacrospinous Ligament Suspension

Concept Sciatic Nerve

Keywords

minimally invasive approach

suture excision

lumbosacral plexus

sacrospinous ligament fixation

neurologic deficits

Complications

Surgery - Robotic Procedures

SSLF

Lumbosacral Trunk

Suture Entrapment

Sacrospinous Ligament Suspension

Sciatic Nerve