Brachial Plexus Injury During Laparoscopic Gynecologic Surgery in Postmenopausal Women.
- Author:
Soo Ho CHUNG
1
;
Tae Hee KIM
;
Hae Hyeog LEE
;
Ki Ho LEE
;
Hwang Shin PARK
Author Information
1. Department of Obstetrics and Gynecology, Soonchunhyang University Bucheon Hospital, Bucheon, Korea. heeobgy@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Brachial plexus neuropathies;
Gynecologic surgical procedures;
Postmenopause
- MeSH:
Anesthesia, General;
Arm;
Axons;
Brachial Plexus;
Brachial Plexus Neuropathies;
Female;
Gynecologic Surgical Procedures;
Head-Down Tilt;
Humans;
Musculocutaneous Nerve;
Postmenopause
- From:The Journal of Korean Society of Menopause
2011;17(1):52-56
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Neurologic complications are rarely associated with laparoscopic procedures. The probable etiology of an axonal injury to the musculocutaneous nerve (motor branch) of the biceps brachii during a laparoscopic procedure is the position in which the patient is maintained. Restraining arms during general anesthesia with an unintentional change in the angle of the arm in the Trendelenburg position, may lead to hyperextension of the arm, resulting in pressure on and stretching of the brachial plexus nerve and neurologic damage. We present a case of a patient undergoing gynecologic surgery who had a brachial plexus injury.
