Repairing the Obturator Nerve in Robotic Pelvic Surgery: Make the Procedure more Perfect

Abstract

We read with interest the excellent article by A. La Riva et al [1]. The authors represented five type of obturator nerve injury (ONI) that may occur during robotic pelvic surgery, included crush injury with a clip, transection injury, partial or complete transection with feasible approximation, complete transection with challenging approximation, complete ransection injury with hidden proximal nerve ending, and the corresponding management strategies, and the principle that the obturator nerve should be skeletonized and well identifified from its surrounding structures no matter what processes were preformed. We are totally agree with that, and we hope that the authors would reply some unapprehensive points from us.