Postoperative neuropathy in gynecologic surgery.
The development of a postoperative neuropathy is a rare complication that can be devastating to the patient. Most cases of postoperative neuropathy are caused by improper patient positioning and the incorrect placement of surgical retractors. This article presents the nerves that are at greatest risk of injury during gynecologic surgery through a series of vignettes. Suggestions for protection of each nerve are provided.
Bradshaw
Amber D
AD
University of Central Florida College of Medicine, Center for Specialized Gynecology, Florida Hospital, Celebration Health, 410 Celebration Place, Suite 302, Celebration, FL 34747, USA.
Advincula
Arnold P
AP
D000328:Adult; D000368:Aged; D001917:Brachial Plexus / Q000293:injuries; D005260:Female; D005267:Femoral Nerve / Q000293:injuries; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D009422:Nervous System Diseases / Q000209:etiology*; D056888:Patient Positioning / Q000009:adverse effects / Q000295:instrumentation; D059348:Peripheral Nerve Injuries; D010543:Peroneal Nerve / Q000293:injuries; D011183:Postoperative Complications; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000601:surgery; D012421:Rupture; D014459:Ulnar Nerve / Q000293:injuries