Peripheral Neuropathy, Postoperative Complications
Conditions
Keywords
positioning, neuropathy, trendelenburg
Brief summary
This prospective cohort study of patients undergoing colorectal surgery positioned conventionally with shoulder braces was performed. After initial results the implementation of the Pink Pad ® took place in order to compare the two groups. This study favours Pink Pad over conventional positioning concerning postoperative neuropathy.
Detailed description
Laparoscopic colorectal surgery requires perioperative positioning in the dorsal lithotomy position and intermittent Trendelenburg position, which is associated with postoperative peripheral neuropathy, which is a substantial cause of anesthesia-related claims. This study aims to primarily assess the incidence of postoperative peripheral neuropathy of patients positioned conventionally by shoulder braces and secondly to compare this group with patients positioned on the foam mattress Pink Pad ® 24-hours after surgery and secondarily at a 30-day postoperative follow-up. This consecutive single-center prospective cohort study of 155 patients undergoing colorectal surgery was performed between November 2014 and June 2015. After initial results the implementation of the Pink Pad ® took place and a total of 52 patients were included between May 2016 and February 2017 in order to compare the two groups. Position related postoperative peripheral neuropathy is an important complication after laparoscopic colorectal surgery. This study concludes that careful attention should be payed to positioning and favors Pink Pad ® over conventional positioning with shoulder braces.
Interventions
DEVICEPink Pad ® (Xodus Medical Inc., New Kensington, PA)
a non-sliding foam mattress
Sponsors
Copenhagen University Hospital, Hvidovre
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age \>18 years * Elective laparoscopic colorectal surgery * Sufficient written and verbal Danish skills * Awake, responsive and oriented in the post-surgical inclusion period
Exclusion criteria
* Pre-existing peripheral neuro- or musculopathy, * Conversion to open operation * Lack of consent were defined as
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| position related postoperative peripheral neuropathy | 24-hours after surgery | This study's primary outcome is to evaluated the incidence of postoperative peripheral neuropathy in patients positioned conventionally compared to patients positioned on the Pink Pad foam mattress 24-hours after surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Position related postoperative peripheral neuropathy | 30 day follow-up after surgery | The secondary outcome of this study is to evaluate the incidence of postoperative peripheral neuropathy in patients positioned conventionally compared to patients positioned on the Pink Pad foam mattress 30 days after surgery. |
Outcome results
None listed