Intraoperative Peripheral Nerve Injury in Colorectal Surgery. An Update

Publication date: Available online 10 March 2016 Source:Cirugía Española (English Edition) Author(s): Pablo Colsa Gutiérrez, Raquel Viadero Cervera, Dieter Morales-García, Alfredo Ingelmo Setién Intraoperative peripheral nerve injury during colorectal surgery procedures is a potentially serious complication that is often underestimated. The Trendelenburg position, use of inappropriately padded armboards and excessive shoulder abduction may encourage the development of brachial plexopathy during laparoscopic procedures. In open colorectal surgery, nerve injuries are less common. It usually involves the femoral plexus associated with lithotomy position and self-retaining retractor systems. Although in most cases the recovery is mostly complete, treatment consists of physical therapy to prevent muscular atrophy, protection of hypoesthetic skin areas, and analgesics for neuropathic pain. The aim of the present study is to review the incidence, prevention and management of intraoperative peripheral nerve injury.
Source: Cirugia Espanola - Category: Surgery Source Type: research