Brachial plexus neuropathies after advanced laparoscopic surgery

A case of bilateral brachial plexus palsy due to shoulder braces

“…Britt's [16] 1964 review of brachial plexus injuries has illustrations depicting the use of these braces and warnings of the potential for injury during their misapplication. Decades later, case reports of brachial plexopathy associated with shoulder braces continue to appear [1,[17][18][19]. The risk-benefit ratio for the continued use of shoulder braces is difficult to determine as there is no accurate estimate of denominator cases, and it is impossible to know the number of patients whom the braces have saved from a slide off the operating table.…”

Brachial plexus injury as a complication after colorectal surgery

“…Lesions at these latter two sites are often regarded as stretch-induced neuropathies [3] due to malposition. Several positions of the upper quadrant (arm and neck) that elongate the length of the nerve bedding of the brachial plexus and median nerve have been associated with perioperative neuropathies, such as shoulder girdle depression, abduction greater than 90°, lateral rotation of the arm, lateral flexion of the patient's head to the opposite side, full elbow extension, and forearm supination [4,5]. Empirically based recommendations to restrain these positions were formulated to decrease the frequency and severity of neural complications [1,6] although the protective value of these recommendations has not been assessed.…”

Gynäkologisch-geburtshilfliche Notfälle − Komplikationen bei endoskopischen Eingriffen

“…5) erforderlich, kann es durchaus zu Druckbzw. Zugschäden am Plexus brachialis kommen, über die von einzelnen Arbeitsgruppen in 0,16% der Fälle berichtet wird [35]. Daher sollten je nach individueller Situation unter Abwägung der oben genannten Kofaktoren ein Anlagern der Arme und die Benutzung gepolsterter Schulterstützen gewählt werden.…”