Postoperative Complications Clinical Trial
Official title:
Position-related Postoperative Peripheral Neuropathy After Laparoscopic Colorectal Surgery - a Comparative Single-center Prospective Cohort Study
This prospective cohort study of patients undergoing colorectal surgery positioned conventionally with shoulder braces was performed. After initial results the implementation of the Pink Pad ® took place in order to compare the two groups. This study favours Pink Pad over conventional positioning concerning postoperative neuropathy.
Laparoscopic colorectal surgery requires perioperative positioning in the dorsal lithotomy
position and intermittent Trendelenburg position, which is associated with postoperative
peripheral neuropathy, which is a substantial cause of anesthesia-related claims. This study
aims to primarily assess the incidence of postoperative peripheral neuropathy of patients
positioned conventionally by shoulder braces and secondly to compare this group with patients
positioned on the foam mattress Pink Pad ® 24-hours after surgery and secondarily at a 30-day
postoperative follow-up.
This consecutive single-center prospective cohort study of 155 patients undergoing colorectal
surgery was performed between November 2014 and June 2015. After initial results the
implementation of the Pink Pad ® took place and a total of 52 patients were included between
May 2016 and February 2017 in order to compare the two groups.
Position related postoperative peripheral neuropathy is an important complication after
laparoscopic colorectal surgery. This study concludes that careful attention should be payed
to positioning and favors Pink Pad ® over conventional positioning with shoulder braces.
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