Bilateral femoral neuropathy after vaginal hysterectomy

Lin Fen Hsieh*, En Syh Liaw, Hisn Yi Cheng, Chang Zern Hong

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

17 Scopus citations


A case of bilateral femoral neuropathy as a complication of vaginal hysterectomy is presented. A 45-year-old woman developed weakness of both quadriceps, absence of bilateral knee jerks, and numbness over bilateral anteromedial thighs and medial lower legs after a vaginal hysterectomy. Electromyographic examination revealed evidence of denervation in the bilateral quadriceps. A nerve conduction study showed prolonged distal latencies and markedly reduced amplitude of the compound muscle action potentials in bilateral femoral nerves. It is suggested that this complication is caused by a microvascular and/or local mechanical injury of the femoral nerve, which is compressed beneath the tough inguinal ligament in a sustained posture with the hip joint in an extreme abduction and external rotation position. The prognosis was excellent with almost complete recovery within 10 weeks. The complication may be preventable by minimizing operating time, changing the patient's posture, and limiting the degree of flexion, abduction, and external rotation of the hip.

Original languageEnglish
Pages (from-to)1018-1021
Number of pages4
JournalArchives of Physical Medicine and Rehabilitation
Issue number8
StatePublished - 08 1998
Externally publishedYes


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