Numbness in the anterior and medial thigh following laparoscopic surgery?
Dear Dr.
Lin,
Two weeks ago, I underwent laparoscopic surgery to remove my right ovary and fallopian tube due to a right ovarian cyst.
This was necessary because I had adhesions in the pelvic cavity and bowel adhesions following a myomectomy performed a year ago, which the surgeon also addressed during this procedure.
My recovery has been good; however, one week post-discharge, I noticed a 15 cm² area extending from my right groin to the inner and front part of my right thigh that feels numb.
The sensation has not improved.
It feels similar to the numbness I experienced a few years ago when I severed a nerve in my finger.
Based on your expertise and experience, could you please let me know if there are similar cases associated with laparoscopic gynecological surgery? Thank you for taking the time to respond amidst your busy schedule.
Best regards.
Amsnda, 40~49 year old female. Ask Date: 2016/10/02
Dr. Lin Wenbin reply Obstetrics and Gynecology
It is necessary to consult with the original physician to discuss the surgical approach and to review the current electromyography (EMG) results before making a decision.
Reply Date: 2016/10/02
More Info
Post-laparoscopic surgery numbness in the thigh and groin area can be a concerning symptom, especially after undergoing a procedure such as the removal of an ovary and fallopian tube. It’s important to understand that numbness or altered sensation in the skin can occur after any surgical procedure, particularly those involving the abdomen and pelvis. This is often due to nerve irritation or damage that can happen during surgery, even with minimally invasive techniques like laparoscopy.
In your case, the numbness extending from the right groin to the inner thigh could be attributed to several factors. First, during laparoscopic surgery, the surgeon may manipulate tissues and organs, which can lead to temporary irritation or stretching of nearby nerves. The ilioinguinal and iliohypogastric nerves, which provide sensation to the groin and inner thigh, can be affected during procedures involving the ovaries and fallopian tubes. This may result in sensations of numbness, tingling, or a "pins and needles" feeling.
Additionally, if there was any adhesiolysis performed to address previous adhesions from your prior surgery, this could also contribute to nerve irritation. Scar tissue can form around nerves and may lead to altered sensations as well.
It’s also worth noting that while many patients experience some degree of numbness or altered sensation post-surgery, these symptoms often improve over time as the nerves heal. However, if the numbness persists or worsens, it is crucial to follow up with your surgeon or healthcare provider. They can perform a thorough examination to rule out any complications, such as nerve entrapment or other issues related to the surgical site.
In terms of what to expect, many patients find that nerve-related symptoms gradually improve within weeks to months following surgery. However, the timeline can vary significantly from person to person. Some may experience complete resolution of symptoms, while others may have lingering sensations. If the numbness is accompanied by pain, weakness, or other concerning symptoms, it’s essential to seek medical advice promptly.
In summary, while numbness in the thigh and groin after laparoscopic surgery can be a common occurrence due to nerve irritation or damage, it is important to monitor the situation closely. If the symptoms do not improve or if you have any additional concerns, do not hesitate to reach out to your healthcare provider for further evaluation and management. They may recommend physical therapy, medications, or other interventions to help alleviate your symptoms and support your recovery.
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