TY  - JOUR
AU  - Rasulić, Lukas
AU  - Savić, Andrija
AU  - Vitošević, Filip
AU  - Samardžić, Miroslav
AU  - Živković, Bojana
AU  - Mićović, Mirko
AU  - Baščarević, Vladimir
AU  - Puzović, Vladimir
AU  - Joksimović, Boban
AU  - Novaković, Nenad
AU  - Lepić, Milan
AU  - Mandić-Rajčević, Stefan
PY  - 2017
UR  - http://TechnoRep.tmf.bg.ac.rs/handle/123456789/5824
AB  - Background Iatrogenic nerve injuries are nerve injuries caused by medical interventions or inflicted accidentally by a treating physician. Methods We describe and analyze iatrogenic nerve injuries in a total of 122 consecutive patients who received surgical treatment at our Institution during a period of 10 years, from January 1, 2003, to December 31, 2013. The final outcome evaluation was performed 2 years after surgical treatment. Results The most common causes of iatrogenic nerve injuries among patients in the study were the operations of bone fractures (23.9%), lymph node biopsy (19.7%), and carpal tunnel release (18%). The most affected nerves were median nerve (21.3%), accessory nerve (18%), radial nerve (15.6%), and peroneal nerve (11.5%). In 74 (60.7%) patients, surgery was performed 6 months after the injury, and in 48 (39.3%) surgery was performed within 6 months after the injury. In 80 (65.6%) patients, we found lesion in discontinuity, and in 42 (34.4%) patients lesion in continuity. The distribution of surgical procedures performed was as follows: autotransplantation (51.6%), neurolysis (23.8%), nerve transfer (13.9%), direct suture (8.2%), and resection of neuroma (2.5%). In total, we achieved satisfactory recovery in 91 (74.6%), whereas the result was dissatisfactory in 31 (25.4%) patients. Conclusions Patients with iatrogenic nerve injuries should be examined as soon as possible by experts with experience in traumatic nerve injuries, so that the correct diagnosis can be reached and the appropriate therapy planned. The timing of reconstructive surgery and the technique used are the crucial factors for functional recovery.
PB  - Elsevier Inc.
T2  - World Neurosurgery
T1  - Iatrogenic Peripheral Nerve Injuries—Surgical Treatment and Outcome: 10 Years' Experience
EP  - 851.e6
SP  - 841
VL  - 103
DO  - 10.1016/j.wneu.2017.04.099
ER  - 

@article{
author = "Rasulić, Lukas and Savić, Andrija and Vitošević, Filip and Samardžić, Miroslav and Živković, Bojana and Mićović, Mirko and Baščarević, Vladimir and Puzović, Vladimir and Joksimović, Boban and Novaković, Nenad and Lepić, Milan and Mandić-Rajčević, Stefan",
year = "2017",
abstract = "Background Iatrogenic nerve injuries are nerve injuries caused by medical interventions or inflicted accidentally by a treating physician. Methods We describe and analyze iatrogenic nerve injuries in a total of 122 consecutive patients who received surgical treatment at our Institution during a period of 10 years, from January 1, 2003, to December 31, 2013. The final outcome evaluation was performed 2 years after surgical treatment. Results The most common causes of iatrogenic nerve injuries among patients in the study were the operations of bone fractures (23.9%), lymph node biopsy (19.7%), and carpal tunnel release (18%). The most affected nerves were median nerve (21.3%), accessory nerve (18%), radial nerve (15.6%), and peroneal nerve (11.5%). In 74 (60.7%) patients, surgery was performed 6 months after the injury, and in 48 (39.3%) surgery was performed within 6 months after the injury. In 80 (65.6%) patients, we found lesion in discontinuity, and in 42 (34.4%) patients lesion in continuity. The distribution of surgical procedures performed was as follows: autotransplantation (51.6%), neurolysis (23.8%), nerve transfer (13.9%), direct suture (8.2%), and resection of neuroma (2.5%). In total, we achieved satisfactory recovery in 91 (74.6%), whereas the result was dissatisfactory in 31 (25.4%) patients. Conclusions Patients with iatrogenic nerve injuries should be examined as soon as possible by experts with experience in traumatic nerve injuries, so that the correct diagnosis can be reached and the appropriate therapy planned. The timing of reconstructive surgery and the technique used are the crucial factors for functional recovery.",
publisher = "Elsevier Inc.",
journal = "World Neurosurgery",
title = "Iatrogenic Peripheral Nerve Injuries—Surgical Treatment and Outcome: 10 Years' Experience",
pages = "851.e6-841",
volume = "103",
doi = "10.1016/j.wneu.2017.04.099"
}

Rasulić, L., Savić, A., Vitošević, F., Samardžić, M., Živković, B., Mićović, M., Baščarević, V., Puzović, V., Joksimović, B., Novaković, N., Lepić, M.,& Mandić-Rajčević, S.. (2017). Iatrogenic Peripheral Nerve Injuries—Surgical Treatment and Outcome: 10 Years' Experience. in World Neurosurgery
Elsevier Inc.., 103, 841-851.e6.
https://doi.org/10.1016/j.wneu.2017.04.099

Rasulić L, Savić A, Vitošević F, Samardžić M, Živković B, Mićović M, Baščarević V, Puzović V, Joksimović B, Novaković N, Lepić M, Mandić-Rajčević S. Iatrogenic Peripheral Nerve Injuries—Surgical Treatment and Outcome: 10 Years' Experience. in World Neurosurgery. 2017;103:841-851.e6.
doi:10.1016/j.wneu.2017.04.099 .

Rasulić, Lukas, Savić, Andrija, Vitošević, Filip, Samardžić, Miroslav, Živković, Bojana, Mićović, Mirko, Baščarević, Vladimir, Puzović, Vladimir, Joksimović, Boban, Novaković, Nenad, Lepić, Milan, Mandić-Rajčević, Stefan, "Iatrogenic Peripheral Nerve Injuries—Surgical Treatment and Outcome: 10 Years' Experience" in World Neurosurgery, 103 (2017):841-851.e6,
https://doi.org/10.1016/j.wneu.2017.04.099 . .