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Regenerative Peripheral Nerve Interface: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain
Published on: March 15, 2024
Perioperative complications in patients undergoing peripheral nerve surgery
Ivica Ducic1, Lauren Hill, Patrick Maher
1Department of Plastic Surgery, Georgetown University Hospital, Washington, DC, USA. ducici@gunet.georgetown.edu
Annals of Plastic Surgery
|November 25, 2010
Summary
Peripheral nerve surgery has low complication rates (2.91%) when patients are carefully selected and surgeons are well-trained. This study introduces a classification system for complications in peripheral nerve procedures.
Area of Science:
- Neurosurgery
- Surgical Outcomes
Background:
- Peripheral nerve surgery volume is increasing, necessitating monitoring of complication rates.
- Current literature lacks a standardized classification system for peripheral nerve surgery complications.
Purpose of the Study:
- To assess complication rates across all peripheral nerve surgery types.
- To develop a classification system for surgical complications.
- To identify variables associated with surgical failures and complications.
Main Methods:
- Retrospective review of 5219 peripheral nerve procedures performed over 6 years.
- Complications within 30 days post-surgery were recorded and categorized as minor, intermediate, or major.
Main Results:
- Total complication rate was 2.91% (minor 2.47%, intermediate 0.44%, major 0%).
- Procedures were performed on 1819 patients across various body regions.
Conclusions:
- Peripheral nerve surgery is safe with low complication rates when patient selection and surgeon training are optimal.
- A novel classification system for complications and associated variables is presented.
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