title: Intraoperative peripheral nerve injury in colorectal surgery. An update.
abstract: Intraoperative peripheral nerve injury during colorectal surgery procedures is a potentially serious complication that is often underestimated. The Trendelenburg position, use of inappropriately padded armboards and excessive shoulder abduction may encourage the development of brachial plexopathy during laparoscopic procedures. In open colorectal surgery, nerve injuries are less common. It usually involves the femoral plexus associated with lithotomy position and self-retaining retractor systems. Although in most cases the recovery is mostly complete, treatment consists of physical therapy to prevent muscular atrophy, protection of hypoesthesic skin areas and analgesics for neuropathic pain. The aim of the present study is to review the incidence, prevention and management of intraoperative peripheral nerve injury.
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital Sierrallana , Torrelavega, Cantabria, España. Electronic address: pablocolsa@hotmail.com.
authors.forename: Pablo
authors.initials: P
authors.lastname: Colsa Gutiérrez
authors.affiliation: Servicio de Neurología, Hospital Sierrallana, Torrelavega, Cantabria, España.
authors.forename: Raquel
authors.initials: R
authors.lastname: Viadero Cervera
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España.
authors.forename: Dieter
authors.initials: D
authors.lastname: Morales-García
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital Sierrallana , Torrelavega, Cantabria, España.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Ingelmo Setién
mesh_terms: D003107:Colorectal Surgery; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D059348:Peripheral Nerve Injuries / Q000453:epidemiology; D020127:Recovery of Function
keywords: Brachial plexus injury; Cirugía colorrectal; Colorectal surgery; Femoral neuropathy; Lesión de nervio periférico; Lesión del plexo braquial; Neuropatía femoral; Peripheral nerve injuries