A rare complication after endoscopic neurolysis of the sciatic nerve: а clinical case

• DOI: 10.17816/clinpract120129
• Publication Date: 2023-05-15T12:53:52Z
• Authors: Evgeniy A. Belyak; Dmitry L. Paskhin; Fedor L. Lazko; Alexey P. Prizov; Sarkis A. Asratyan; Nikolay V. Zagoro...
• Keywords: Neurolysis; Hypertonic saline

Background: Еndoscopic neurolysis of the sciatic nerve has proven itself as a low traumatic and effective technique treatment for deep gluteal pain syndrome neuropathy. Until now, there have been no publications dedicated to parietal peritoneum damage after endoscopic decompression. Clinical case description: A 70-year-old female patient with neuropathy on right side failure conservative treatment. According VAS scale, severity was 10 cm. The motor dysfunction, according BMRC 4 points. sensitive Seddon 3 functional activity lower limb, LEFS 48 instrumental investigation included MRI, ultrasound, ENMG. Endoscopic decompression performed in prone position saline irrigation using published before. After surgery, an ultrasound study CT scan were performed, which determined presence free fluid abdominal cavity, edema retroperitoneal space. underwent laparoscopy, revealed area floor, detected evacuated. discharged from hospital 10th day surgery. 6 months extremity, 52 Pain syndrome, 8 surgical rendered ineffective. Conclusion: method pumping risk following complication: damaging peritoneum, penetration into To decrease this complication, it is necessary observe specific conditions such as: controlled hypotension pressure arthroscopic pump, time surgery not exceeding 1 hour, consumption liters. It also crucial perform dissection too proximal piriformis area.