Cutaneous and Vulvar/Vaginal Melanoma; Do They Behave Same?

Study Objective: Injury of obturator nerve has rarely been reported during laparoscopic lymphadenectomy in surgery for gynecological malignancies. Injury of this nerve causes claudication and paresthesia of thigh. Here in we report a case of laparoscopic injury and repair of obturator nerve during pelvic lymphadenectomy. Patients: A 43-year-old woman with FIGO clinical stage IB1 uterine cervical cancer was treated with laparoscopic radical hysterectomy and bilateral pelvic lymphadenectomy. Intervention: The right obturator nerve was unintentionally transected during right obturator lymph nodes dissection by LigaSure and immediately repaired by laparoscopic reapproximation with PROLENE suture and GORE-TEX suture. After six months of follow-up, she did not complained any sign and symptom of obturator nerve injury and was doing well.