J Korean Soc Menopause.  2011 Apr;17(1):52-56.

Brachial Plexus Injury During Laparoscopic Gynecologic Surgery in Postmenopausal Women

Affiliations
  • 1Department of Obstetrics and Gynecology, Soonchunhyang University Bucheon Hospital, Bucheon, Korea. heeobgy@schmc.ac.kr
  • 2Department of Obstetrics and Gynecology, Seonam University Green Cross Hospital, Gwangju, Korea.
  • 3Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

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.

Keyword

Brachial plexus neuropathies; Gynecologic surgical procedures; Postmenopause

MeSH Terms

Anesthesia, General
Arm
Axons
Brachial Plexus
Brachial Plexus Neuropathies
Female
Gynecologic Surgical Procedures
Head-Down Tilt
Humans
Musculocutaneous Nerve
Postmenopause
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