XXXX after major pelvic surgery.

@entity1 @entity16 @entity51 @entity86 @entity158 @entity130
OBJECTIVE: To estimate the incidence, etiology, and outcome of @entity16 after major gynecologic surgery and to recommend management and prevention strategies for these complications. METHODS: The medical records of @entity1 who @entity16 after major pelvic surgery between July 1995 and June 2001 were reviewed. @entity130 , treatment, and outcome were determined from the @entity1 charts. RESULTS: Twenty-three of 1210 @entity1 undergoing major pelvic surgery during the defined period suffered a @entity86 for an incidence of 1.9%. @entity16 involved the obturator (n = 9), ilioinguinal/iliohypogastric (n = 5), genitofemoral (n = 4), femoral (n = 3), and lumbosacral nerve plexus (n = 2) in these @entity1 . Etiologies were a result of direct surgical @entity130 , @entity130 , suture entrapment, or were retractor related. All @entity1 with @entity51 were treated with physiotherapy, and pharmacologic or surgical management was used in @entity1 with @entity51 or @entity158 . Seventy-three percent of the @entity1 experienced full recovery; the only @entity1 with persistent symptoms were those with unrepaired nerve transection or @entity130 . Both time to diagnosis and time to resolution varied widely. CONCLUSION: @entity16 are infrequently associated with major pelvic surgery. We observed a 73% complete recovery rate, and time to resolution varied depending on the severity of injury. Physical therapy plays a valuable role in managing these @entity1 , but some may require surgery for relief of their symptoms.
