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 18 January 2018

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News

Risk factors of motor peripheral nerve injury after colorectal surgery

March's issue of the Diseases of the Colon & Rectum performed an analysis of the National Surgical Quality Improvement Program Database of the incidence, risk factors, and trends of motor peripheral nerve injury after colorectal surgery.

News image

Motor peripheral nerve injury is a rare but serious event after colorectal surgery, and a nationwide study of this complication is lacking.

Dr Mohammed Al-Temimi and colleagues reported the incidence, trends, and risk factors of motor peripheral nerve injury during colorectal surgery.

The National Surgical Quality Improvement Program database was surveyed for motor peripheral nerve injury complicating colorectal procedures. 

Risk factors for this complication were identified using logistic regression analysis.

Patients undergoing colorectal resection between 2005 and 2013 were included.

The researchers' main outcomes included the incidence, trends, and risk factors for motor peripheral nerve injury complicating colorectal procedures were measured.

The research team identified 186,936 colorectal cases, of 27% were performed laparoscopically. 

Motor peripheral nerve injury occurred in less than 1% of patients
Diseases of the Colon & Rectum
The team observed that motor peripheral nerve injury occurred in less than 1% of patients. 

The researchers noted that injury rates declined over the study period.

Patients with motor peripheral nerve injury were younger, more likely to be obese, and more likely to have received radiotherapy. 

The team noted that nerve injury was also associated with longer operative times, and was less likely to be associated with laparoscopy. 

The researchers revealed that increasing operative time was associated with nerve injury, whereas increasing age was associated with a protective effect.

Dr Al-Temimi's team commented, "Motor peripheral nerve injury during colorectal procedures is uncommon, and its rate declined significantly over the study period."

"Prolonged operative time is the strongest predictor of motor peripheral nerve injury during colorectal procedures."

"Instituting and documenting measures to prevent nerve injury is imperative."

"However, special attention to this complication is necessary when surgeons contemplate long colorectal procedures."

Dis Colon Rectum 2017: 60(3):318-325
21 February 2017

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