Skip to main content

Advertisement

SpringerLink
Log in

Trendelenburg Position-Induced Brachial Plexus Injury Following Laparoscopic Rectal Cancer Surgery

  • Case Report
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

Position-related brachial plexus injury may be diagnosed currently because of the rise in the number of laparoscopic colorectal surgeries being performed. The Trendelenburg position, which is necessary for laparoscopic and robotic surgeries, may lead to excessive pressure on the shoulders and thus cause brachial plexus injury. There are some risk factors like prolonged surgery and high BMI. Most patients recover with high-dose corticosteroid treatment and physical therapy. We report a case of brachial plexus injury caused by patient position during surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Sawyer RJ, Richmond MN, Hickey JD, Jarratt JA (2000) Peripheral nerve injuries associated with anaesthesia. Anaesthesia 55:980–991. https://doi.org/10.1046/j.1365-2044.2000.01614.x

    Article  CAS  PubMed  Google Scholar 

  2. Martin JT (1995) The trendelenburg position: a review of current slants about head down tilt. AANA J 63:29–36

    CAS  PubMed  Google Scholar 

  3. Thomas J (2014) Post-operative brachial plexus neuropraxia: a less recognised complication of combined plastic and laparoscopic surgeries. Indian J Plast Surg 47:460–464. https://doi.org/10.4103/0970-0358.146677

    Article  PubMed  PubMed Central  Google Scholar 

  4. No MY, Shin JM, Choi WJ (2013) Two cases of brachial plexus injury in laparoscopic colorectal surgery. Korean J Anesthesiol 65:149–150. https://doi.org/10.4097/kjae.2013.65.6S.S149

    Article  Google Scholar 

  5. Shveiky D, Aseff JN, Iglesia CB (2010) Brachial plexus injury after laparoscopic and robotic surgery. J Minim Invasive Gynecol 17:414–420. https://doi.org/10.1016/j.jmig.2010.02.010

    Article  PubMed  Google Scholar 

  6. Daga G, Kerkar PB (2017) Brachial plexus injury after right hepatectomy. Indian J Surg Oncol 8:191–194. https://doi.org/10.1007/s13193-016-0615-0

    Article  PubMed  PubMed Central  Google Scholar 

  7. Abdalmageed OS, Bedaiwy MA, Falcone T (2017) Nerve injuries in gynecologic laparoscopy. J Minim Invasive Gynecol 24:16–27. https://doi.org/10.1016/j.jmig.2016.09.004

    Article  PubMed  Google Scholar 

  8. Souki FG, Rodriguez-Blanco YF, Polu SR, Eber S, Candiotti KA (2018) Survey of anesthesiologists’ practices related to steep Trendelenburg positioning in the USA. BMC Anesthesiol 18:117. https://doi.org/10.1186/s12871-018-0578-5

    Article  PubMed  PubMed Central  Google Scholar 

  9. Ozdemir MH, Cekin N, Can IO, Hilal A (2005) Malpractice and system of expertise in anaesthetic procedures in Turkey. Forensic Sci Int 153:161–167. https://doi.org/10.1016/j.forsciint.2004.08.016

    Article  PubMed  Google Scholar 

Download references

Funding

The authors declared that this study has received no financial support.

Author information

Authors and Affiliations

  1. Clinic of General Surgery, Yenimahalle State Hospital, Ankara, Turkey

    Aydin Yavuz

  2. Clinic of Anesthesiology, Yenimahalle State Hospital, Ankara, Turkey

    Filiz Banu Ethemoglu

  3. Clinic of Neurosurgery, Yenimahalle State Hospital, Ankara, Turkey

    Mehmet Olpak

  4. General Surgery Department, Yildirim Beyazit University, Muhsin Yazicioglu Cad. No 52/7, Ankara, Cankaya, Turkey

    Gurel Nessar

Authors
  1. Aydin Yavuz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Filiz Banu Ethemoglu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mehmet Olpak
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Gurel Nessar
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Gurel Nessar.

Ethics declarations

Conflict of Interest

The authors have no conflict of interest to declare.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yavuz, A., Ethemoglu, F.B., Olpak, M. et al. Trendelenburg Position-Induced Brachial Plexus Injury Following Laparoscopic Rectal Cancer Surgery. Indian J Surg 83, 782–783 (2021). https://doi.org/10.1007/s12262-020-02335-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-020-02335-3

Keywords

Search

Navigation