title: Peroneal neuropathy following liver transplantation: possible predisposing factors and outcome.
abstract: BACKGROUND
  Perioperative peroneal neuropathy is an uncommon complication following operations remote from the leg or in supine position including liver transplant.
  
  
  METHODS
  We retrospectively reviewed the medical records of 132 living-donor liver transplant recipients done at our center between September 2006 and December 2008. Various potential preoperative, intraoperative, and postoperative factors were studied in the cases that developed perioperative peroneal neuropathy.
  
  
  RESULTS
  Peroneal neuropathy was reported in 7 recipients (5.3%) following liver transplant. Apart from intraoperative positioning, other identifiable predisposing factors appear to be poor nutritional status, tall and slender body shape, alcoholic liver disease, and higher pretransplant model for endstage liver disease score. All patients were treated conservatively, including nutritionally balanced diet and vitamin supplements combined with physical rehabilitation therapy. The motor power returned to normal within 6 months in all 7 patients.
  
  
  CONCLUSIONS
  Perioperative peroneal neuropathy may be contributed by various preoperative factors apart from intraoperative nerve compression. It can be effectively prevented by being aware of the predisposing factors and implicating adequate precautions perioperatively.
authors.affiliation: Department of Surgical Gastroenterology and Liver Transplantation, Indraprastha Apollo Hospital, New Delhi, India.
authors.forename: Ashish
authors.initials: A
authors.lastname: Singhal
authors.forename: Mukul
authors.initials: M
authors.lastname: Varma
authors.forename: Neerav
authors.initials: N
authors.lastname: Goyal
authors.forename: Vivek
authors.initials: V
authors.lastname: Vij
authors.forename: Manav
authors.initials: M
authors.lastname: Wadhawan
authors.forename: Subash
authors.initials: S
authors.lastname: Gupta
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D020427:Peroneal Neuropathies / Q000209:etiology* / Q000517:prevention & control / Q000628:therapy; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome