Publication:

Types of intraoperative positioning nerve injuries

Intraoperative positioning nerve injuries are a known complication that can occur during surgical procedures when patients are placed in specific positions on the operating table. The causes of intraoperative positioning nerve injuries are multifactorial and are associated with aspects related to how the patient is positioned during the surgical procedure and the duration for which pressure or tension is applied to nerves. This study was conducted to identify and categorize the various types of intraoperative positioning nerve injuries and to establish prognostic classifications for these injuries. The aim was to address the imperative need for strategies to prevent and manage such injuries effectively. The study involved an extensive review of existing literature, encompassing databases such as PubMed, Web of Science, and Cochrane. Intraoperative positioning nerve injuries can be categorized based on several parameters, including the nature of the injury, the specific nerve or nerve plexus affected, and the severity of the damage incurred. Two major classification systems based on injury extent are Seddon’s and Sunderland’s classifications. Types based on anatomical region can be loosely divided into nerves present in the upper limb, lower limb, head and neck, and thoracic region. The prevention of intraoperative positioning nerve injuries is of paramount importance and hinges on meticulous preoperative planning, the utilization of appropriate positioning techniques, and the diligent monitoring of patients throughout the surgery.