Iatrogenic Peripheral Nerve Injuries—Surgical Treatment and Outcome: 10 Years' Experience
Само за регистроване кориснике
2017
Аутори
Rasulić, LukasSavić, Andrija
Vitošević, Filip
Samardžić, Miroslav
Živković, Bojana
Mićović, Mirko
Baščarević, Vladimir
Puzović, Vladimir
Joksimović, Boban
Novaković, Nenad
Lepić, Milan
Mandić-Rajčević, Stefan
Чланак у часопису (Објављена верзија)
Метаподаци
Приказ свих података о документуАпстракт
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 c...ontinuity. 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.
Кључне речи:
Iatrogenic injuries / Peripheral nerve injuries / Peripheral nerve surgeryИзвор:
World Neurosurgery, 2017, 103, 841-851.e6Издавач:
- Elsevier Inc.
DOI: 10.1016/j.wneu.2017.04.099
ISSN: 1878-8750
WoS: 000405479900105
Scopus: 2-s2.0-85019611294
Институција/група
Inovacioni centarTY - 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 . .