Thomas Jimmy
Department of Plastic Surgery, Division of Burns, Al Wakra Hospital, Al Wakra, Qatar.
Indian J Plast Surg. 2014 Sep-Dec;47(3):460-4. doi: 10.4103/0970-0358.146677.
This presentation is to increase awareness of the potential for brachial plexus injury during prolonged combined plastic surgery procedures. A case of brachial plexus neuropraxia in a 26-year-old obese patient following a prolonged combined plastic surgery procedure was encountered. Nerve palsy due to faulty positioning on the operating table is commonly seen over the elbow and popliteal fossa. However, injury to the brachial plexus has been a recently reported phenomenon due to the increasing number of laparoscopic and robotic procedures. Brachial plexus injury needs to be recognised as a potential complication of prolonged combined plastic surgery. Preventive measures are discussed.
本报告旨在提高人们对长时间联合整形手术过程中臂丛神经损伤可能性的认识。遇到一例26岁肥胖患者在长时间联合整形手术后发生臂丛神经失用症的病例。因手术台上体位不当导致的神经麻痹常见于肘部和腘窝。然而,由于腹腔镜和机器人手术数量的增加,臂丛神经损伤已成为最近报道的一种现象。臂丛神经损伤应被视为长时间联合整形手术的一种潜在并发症。文中讨论了预防措施。