Document Detail

Brachial plexopathy in laparoscopic-assisted rectal surgery: a case series.
MedLine Citation:
PMID:  23188106     Owner:  NLM     Status:  Publisher    
BACKGROUND: Brachial plexopathy may be caused by malpositioning during surgery when the body's protective mechanism is lost under general anaesthesia. It is the second commonest nerve injury reported in the anaesthetized patient. The exact incidence in colorectal surgery is unclear but there have been numerous cases reported of brachial plexopathy as an adverse event following colorectal surgery. Although it is widely believed that these injuries are preventable by paying special attention to vulnerable areas during patient positioning and by careful intraoperative monitoring, it appears that nerve injury may still occur. METHODS: Patients with post-operative brachial plexopathy in our prospectively kept database were identified. The patient notes were reviewed and documented. RESULTS: In our series, five cases of brachial plexopathy were still observed despite careful precautions taken to prevent nerve injury. The proposed mechanism of nerve injury in our series is most likely due to nerve stretch. All symptoms resolved with the longest taking 7 months before resolution. During this period from 2005 to 2010 our unit performed 548 laparoscopic colorectal resections. The relative incidence of brachial plexopathy in our series is approximately 1 %. CONCLUSION: We recommend certain precautionary steps to follow, as well as predisposing and perioperative factors to be aware of when anticipating a laparoscopic colorectal procedure. These may all contribute to minimising brachial plexopathy which most likely is under-reported in laparoscopic colorectal surgery but is a preventable morbidity to the patient.
J Eteuati; R Hiscock; I Hastie; I Hayes; I Jones
Related Documents :
24903026 - Repeated cannulation of umbilical hernia with ventriculoperiotoneal shunt catheter.
23102676 - Peripancreatic schwannoma.
23628366 - Iliofemoral deep vein thrombosis after tibial plateau fracture fixation related to undi...
22977806 - Management of non-variceal upper gastrointestinal bleeding.
12161736 - Auditory brainstem implantation: the university of verona experience.
19582796 - Total scapulectomy and constrained reverse total shoulder reconstruction for a ewing's ...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-28
Journal Detail:
Title:  Techniques in coloproctology     Volume:  -     ISSN:  1128-045X     ISO Abbreviation:  Tech Coloproctol     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9613614     Medline TA:  Tech Coloproctol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Colorectal Unit, Royal Melbourne Hospital, Grattan Street, Parkville, VIC, 3050, Australia,
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Prevalence of Transmitted HIV-1 Drug Resistance Mutations in Children and Adolescents in São Paulo,...
Next Document:  EFTUD2 haploinsufficiency leads to syndromic oesophageal atresia.