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Legs numb after hysterectomy

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Why do legs go numb after a hysteromty? and does it matter if the sugery is abdomial or vaginal or lapscoptic? What procedure would be the best to avoid leg numbness?

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First Helper poojar

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replied April 25th, 2010
Hysterectomy Answer A11515
Welcome to the ehealthforum and I am really glad to help you out.

The common cause of the numbness in the legs following the hysterectomy (abdominal or vaginal) is the damage to the femoral nerve.

This is much more common in the abdominal hysterectomy. The offending factor is the retractor, which entraps the nerve between its metal blade and the bony lateral pelvic wall.

In vaginal hysterectomy, it is due to the lithotomy position in which the femoral nerve gets entrapped by the stirrups.

In this position the nerve can become acutely angulated and twisted beneath the inguinal ligament leading to injury.

Some of the risk factors reported are BMI of 20 kg/m2 or less, prolonged duration of surgery in lithotomy position, diabetes mellitus and history of smoking.

The recovery of femoral neuropathy following vaginal hysterectomy is nearly complete.

The sensory deficit usually resolves within five days and motor dysfunction takes up to ten weeks to resolve. I sincerely hope this information helps. Take care.

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