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Related Experiment Videos

Brachial plexus neuropathies after advanced laparoscopic surgery

L Romanowski1, H Reich, F McGlynn

  • 1Nesbitt Memorial Hospital, Kingston, Pennsylvania.

Fertility and Sterility
|October 1, 1993
PubMed
Summary

Brachial plexus injuries occurred in 0.16% of advanced laparoscopic surgeries in 1986. Modifying patient positioning, especially in steep Trendelenburg

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Area of Science:

  • Surgical procedures
  • Neurology
  • Patient safety

Background:

  • Advanced laparoscopic surgery presents unique patient positioning challenges.
  • Brachial plexus injuries are a potential complication during these procedures.

Purpose of the Study:

  • To determine the incidence of brachial plexus injuries in advanced laparoscopic surgery.
  • To identify risk factors associated with these injuries.

Main Methods:

  • A retrospective review of 3,200 advanced laparoscopic procedures.
  • Analysis of patient positioning, including Trendelenburg's position and arm extension.

Main Results:

  • Five cases of brachial plexus injury were identified over a 5-month period.

Related Experiment Videos

  • The incidence rate of brachial plexus injury was 0.16%.
  • Steep Trendelenburg's position with shoulder braces and 90-degree arm extension were associated with injury.

    • Conclusions:

    • Brachial plexus injury is a rare but documented complication of advanced laparoscopic surgery.
    • Modifications in patient positioning can mitigate the risk of upper extremity neuropathies.