Brachial plexopathy in laparoscopic-assisted rectal surgery: a case series

摘要: Brachial plexopathy may be caused by malpositioning during surgery when the body’s protective mechanism is lost under general anaesthesia. It second commonest nerve injury reported in anaesthetized patient. The exact incidence colorectal unclear but there have been numerous cases of brachial as an adverse event following surgery. Although it widely believed that these injuries are preventable paying special attention to vulnerable areas patient positioning and careful intraoperative monitoring, appears still occur. Patients with post-operative our prospectively kept database were identified. notes reviewed documented. In series, five observed despite precautions taken prevent injury. proposed series most likely due stretch. All symptoms resolved longest taking 7 months before resolution. During this period from 2005 2010 unit performed 548 laparoscopic resections. relative approximately 1 %. We recommend certain precautionary steps follow, well predisposing perioperative factors aware anticipating a procedure. These all contribute minimising which under-reported morbidity