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Related Experiment Video

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Position-Related Postoperative Peripheral Neuropathy After Laparoscopic Colorectal Surgery: A Comparative

Signe Amalie Wolthers1, Birgit Vibeke Lassen1, Lotte Terney Rasmussen2

  • 1Department of Anaesthesiology and Intensive Care Medicine, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|June 8, 2021
PubMed
Summary

Shoulder braces during laparoscopic colorectal surgery increase the risk of postoperative peripheral neuropathy (PPN). Using the Pink Pad foam mattress significantly reduced PPN incidence, highlighting the importance of careful patient positioning.

Keywords:
colorectal surgerylaparoscopyperipheral nerve injurypositioning

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Area of Science:

  • Surgical positioning techniques
  • Anesthesiology
  • Neurology

Background:

  • Laparoscopic colorectal surgery often involves dorsal lithotomy and Trendelenburg positions.
  • These positions are linked to postoperative peripheral neuropathy (PPN), a significant anesthesia-related complication.

Purpose of the Study:

  • To evaluate PPN incidence in patients positioned with shoulder braces.
  • To compare PPN rates between shoulder brace positioning and Pink Pad foam mattress positioning.

Main Methods:

  • Prospective cohort study of 155 patients undergoing colorectal surgery.
  • Comparison between two positioning methods: shoulder braces versus Pink Pad.
  • Data collected between November 2014 and February 2017.

Main Results:

  • PPN incidence was 33% with shoulder braces versus 15% with the Pink Pad.
  • Shoulder brace positioning increased PPN risk by an odds ratio of 3.14 (95% CI: 1.10-8.992).
  • Prolonged anesthesia time was identified as a predictor of PPN.

Conclusions:

  • Patient positioning is critical in preventing PPN after laparoscopic colorectal surgery.
  • The Pink Pad foam mattress is favored over shoulder braces to minimize PPN risk.
  • Attention to positioning and anesthesia duration can mitigate PPN complications.