Position-Related Postoperative Peripheral Neuropathy After Laparoscopic Colorectal Surgery: A Comparative Single-Center Prospective Cohort Study.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Signe Amalie WolthersNicolai Bang Foss

Abstract

Background: Laparoscopic colorectal surgery requires perioperative positioning in the dorsal lithotomy position and intermittent Trendelenburg position. This position is associated with postoperative peripheral neuropathy (PPN), which is a substantial cause of anesthesia-related claims. The objective of this study was to assess the incidence of PPN of patients positioned in lithotomy position with shoulder braces, and second to compare this group with patients positioned on the foam mattress Pink Pad®. Materials and Methods: This consecutive single-center prospective cohort study of 155 patients undergoing colorectal surgery was performed between November 2014 and June 2015. After initial results the implementation of the Pink Pad took place and a total of 52 patients were included between May 2016 and February 2017 to compare the two groups. Results: Positioning with the shoulder brace regimen during laparoscopic colorectal surgery was related to the development of PPN in 33% of cases, as opposed to 15% with Pink Pad. Positioning with shoulder braces increased the risk of PPN with an odds ratio of 3.14 (95% confidence interval: 1.10-8.992) when compared with positioning on Pink Pad. Conclusion: Position-related PPN is an impor...Continue Reading

References

Aug 1, 1990·Anesthesiology·D A KrollF W Cheney
Oct 1, 1993·Fertility and Sterility·L RomanowskiP J Taylor
Jan 23, 1999·Anesthesiology·M A WarnerP M Maxson
Apr 14, 1999·Anesthesiology·F W CheneyK L Posner
Sep 30, 2000·Anaesthesia·R J SawyerJ A Jarrratt
Jan 22, 2003·ANZ Journal of Surgery·Peter Chin, Garth Poole
Jan 11, 2005·Surgical Neurology·Christopher J Winfree, David G Kline
Jul 12, 2005·Techniques in Coloproctology·S Brill, S Walfisch
Oct 31, 2007·Journal of Clinical Anesthesia·Christopher D Kent, Frederick W Cheney
Jun 16, 2010·Urology·Ardavan AkhavanJeffrey A Stock
Jul 14, 2010·Journal of Minimally Invasive Gynecology·David ShveikyCheryl B Iglesia
Aug 3, 2010·Obstetrics and Gynecology Clinics of North America·Amber D Bradshaw, Arnold P Advincula
Oct 6, 2010·Journal of Visceral Surgery·J AgostiniH Mosnier
Jun 22, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·F Navarro-VicenteE García-Granero
Sep 11, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R J CoddG L Williams
Jan 10, 2014·Diseases of the Colon and Rectum·Vamsi R VelchuruHerand Abcarian
Aug 23, 2018·BMC Anesthesiology·Fouad G SoukiKeith A Candiotti

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