篇名 | Factors Associated With Peripheral Nerve Injury After Pelvic Laparoscopy: The Importance of Surgical Positioning |
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卷期 | 31:1 |
作者 | Ainhoa ZARANDONA DEL CAMPO 、 Nerea HERREROS MARIAS 、 Alazne TORVISCO MACIAS 、 Ana María BARANDICA BILBAO 、 Lorea RODRIGUEZ OTAZUA 、 Urko AGUIRRE LARRACOECEA 、 Ane VILLLANUEVA ETXEBARRIA 、 Vicente PORTUGAL PORRAS |
頁次 | 009-009 |
關鍵字 | peripheral nerve injury 、 patient positioning 、 laparoscopy 、 nerve injury 、 Trendelenburg 、 MEDLINE 、 Scopus 、 SSCI 、 TSCI 、 TSSCI 、 SCIE |
出刊日期 | 202302 |
DOI | 10.1097/jnr.0000000000000530 |
Background: Nerve damage after abdominal and pelvic surgery is rare but potentially serious. The incidence of peripheral nerve injury is difficult to assess, and rates of between 0.02% and 21% have been cited in the literature. Signs and symptoms of this type of injury may appear immediately after surgery or a few days later.
Purpose: This study was developed to assess the rate of peripheral nerve injury after pelvic laparoscopy and to identify associated risk factors.
Methods: A pilot prospective cohort study was conducted between March 2018 and April 2019 on 101 patients with a 1-month follow-up using two semistructured clinical interviews. We carried out a descriptive analysis followed by univariable and multivariable logistic regression analyses.
Results: Thirteen patients were found to have peripheral nerve injuries, representing a rate of 12.9%. Overall, 14 injuries (five severe and nine mild) were detected. One patient had two mild injuries. In this study, the risk of injury was found to increase 1.77-fold (OR = 1.77, 95% CI [1.13, 2.76], p = .007) for each hour the patient was in the Trendelenburg position.
Conclusions/Implications for Practice: The longer the patient is in the Trendelenburg position, the greater the risk of peripheral nerve damage. Patients aged 60 years or less also face a higher risk of nerve injury.