Factors Associated With Peripheral Nerve Injury After Pelvic Laparoscopy: The Importance of Surgical Positioning

Ainhoa ZARANDONA DEL CAMPO ； Nerea HERREROS MARIAS ； Alazne TORVISCO MACIAS ； Ana Mar í a BARANDICA BILBAO ； Lorea RODRIGUEZ OTAZUA ； Urko AGUIRRE LARRACOECHEA ； Ane VILLANUEVA ETXEBARRIA ； Vicente PORTUGAL PORRAS

《The Journal of Nursing Research》 31卷1期 (2023/02) Pp. 1-7

https://doi.org/10.1097/jnr.0000000000000530

摘要

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.

關鍵字

peripheral nerve injury ； patient positioning ； laparoscopy ； nerve injury ； Trendelenburg

參考文獻

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