Nerve Injuries SBA

1.Ms. Tina, 28 year old is a primigravida who has been pushing actively for 2 hours now. She is only on Enotonox after counselling her for operative delivery, she gives consent for vaccum delivery. She agrees for pudendal block has lidocaine injected around the pudendal nerve during vaginal delivery. Which of the following branch of the pudendal nerve that will be blocked by this procedure?

2. You are asked to review a ms.Rachel, primiparous woman following a rotational difficultf orceps delivery. She presents with left lateral calf paresthesia, sensory loss between her first and second toes and foot drop with inversion. Which nerve compression is the likely cause of her symptoms?

3. Nerve injuries are the commonest complication of gynecological surgery It happens in what percentages of cases?

4. Nerve injuries are the commonest complication of gynecological surgery. which type of injury is most severe form ?

5. Ms. sweetie,26 year old patient is has undergone second stage cesarean section after a failed difficult forceps delivery for persistent . She complains of numbness to the anterior and medial thigh on the right side. On examination knee reflex absent on the right side, what nerve is likely to have been injured ?

6. MS,Tiara, 45 year old patient is reviewed in clinic 6 months post hysterectomy.Hysterectomy done for multiple fibroid uterusShe is having Pain in perineum and perirectal areas. Her relation ship is affected with her partner as She a sexual intercourse painful since the operation. She also complains of urgency and hesitancy .What type of neuralgia is this likely to represent?,

7. Mrs.Maha ,34 year old went for emergency cesarean section .she developed massive Postpartum hemorrhage , which ended in cesarean hysterectomy . Total duration of surgery was 4hours . during surgery, her arm abducted more than 90degrees .post op she developed ERB’S palsy, which part of the brachial plexus was got damaged.

8. Mrs. Razanza , 60year old presented with mass per vagina .on examination she has Grade 3 prolapse on POPQ. After counseling she has decided for vaginal hysterectomy . At the end of hysterectomy, vault descends to introitus. To prevent vault prolapse,consultant decodes to proceed for Sacrospinous fixation.what measures need to be taken to prevent pudendal nerve injury ?

9. Mrs.x , 24 year old had prolonged second stage , postnatal period she developed foot drop.Which nerve is commonly injured?