Document Detail


Saphenous neuralgia: a complication of arterial surgery.
MedLine Citation:
PMID:  667539     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The saphenous nerve may be damaged during arterial surgery in the thigh as it emerges through the aponeurotic covering of the adductor canal. A clean cut of the nerve gives rise to anaesthesia, but an incomplete cut or tearing of the nerve, followed by its involvement in scar tissue, leads to saphenous neuralgia--a painful sensation in the area supplied by the nerve. Two hundred and fifty-seven arterial operations involving the course of the saphenous nerve in the thigh have been reviewed. Twenty-six of these operations were complicated by early failure of the arterial procedure necessitating amputation and have not been considered in assessing the incidence of damage to the nerve. One in five superficial femoral thromboendarterectomies and one in nine femoropopliteal bypass grafts were complicated by saphenous neuralgia. Profundaplasty was not followed by this complication. Appreciation of this troublesome symptom should lead to greater care of the nerve during surgery.
Authors:
N A Jones
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  65     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1978 Jul 
Date Detail:
Created Date:  1978-09-29     Completed Date:  1978-09-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  465-6     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Arteries / surgery*
Humans
Neuralgia / etiology*
Postoperative Complications*
Thigh / blood supply,  innervation*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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