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PFD Week 2016
Robotic Excision of Suture Entrapment of the Lumbo ...
Robotic Excision of Suture Entrapment of the Lumbosacral Trunk
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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
Keywords
minimally invasive approach
suture excision
lumbosacral plexus
sacrospinous ligament fixation
neurologic deficits
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