2015
DOI: 10.1007/s11255-015-1088-8
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Postoperative pain and neuromuscular complications associated with patient positioning after robotic assisted laparoscopic radical prostatectomy: a retrospective non-placebo and non-randomized study

Abstract: Patients with previous operations, comorbidities, and high ASA score are at risk of neuromuscular complications during RALP. Lower BMI and having an implant also lead to higher postoperative pain. Operating room staff and anaesthesia team should be very careful with patients undergoing RALP in steep Trendelenburg and low-lithotomy position.

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Cited by 22 publications
(16 citation statements)
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“…The risk of perioperative complications is increased by incorrect patient positioning, inadequate fixation or even a long-time in the proper patient positioning. Positioning-related complications are even more common in obese patients, either related to weight pressure or longer operative time [5] , [7] , [8] .…”
Section: Resultsmentioning
confidence: 99%
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“…The risk of perioperative complications is increased by incorrect patient positioning, inadequate fixation or even a long-time in the proper patient positioning. Positioning-related complications are even more common in obese patients, either related to weight pressure or longer operative time [5] , [7] , [8] .…”
Section: Resultsmentioning
confidence: 99%
“…Serum creatine kinase (CK) increases after surgery peak at ∼18 h after the procedure, but CK elevation in isolation should not be used to predict positioning injury [14] . Prolonged Trendelenburg position, high body mass index, peripheral vascular disease, and comorbidities increase the risk of muscle injuries [8] , [15] . Serum-CK dosage is indicated for these patients and for those with pain in the back, thigh or gluteals after surgery.…”
Section: Resultsmentioning
confidence: 99%
“…The survey highlighted the different complications that may be encountered during steep Trendelenburg positioning and their relative frequency (Table 1 ). While there is no data published about the overall rate of complications due to steep Trendelenburg positioning, there are published reports about isolated complications (neuromuscular, ophthalmic) [ 3 , 5 , 25 , 26 ]. In this survey, the rate of neuromuscular injuries 7.93% (23/290) and corneal abrasions 4.13% (12/290) were comparable to published rates of neuromuscular injuries (5–6.6%) and corneal abrasions (3%) due to steep Trendelenburg positioning [ 3 , 5 , 25 28 ].…”
Section: Discussionmentioning
confidence: 99%
“…This mode of positioning provides optimal field exposure for a wide variety of surgeries performed using laparoscopic, robotic, or other techniques [ 2 , 3 ]. However, it is associated with physiological changes and complications that span the majority of organ systems [ 3 5 ].…”
Section: Introductionmentioning
confidence: 99%
“…Even though LRP is minimally invasive, it is associated with postoperative pain [4,5]. Pain is a significant aspect of perioperative care, and the use of analgesic treatment is aimed at facilitating early postoperative recovery.…”
Section: Introductionmentioning
confidence: 99%