Suprascapular Nerve Injury During Robotic Prostate Surgery: A Case Report
Author Information
Author(s): Lucy Drummond, A McNeill
Primary Institution: Western General Hospital, UK
Hypothesis
This case report aims to encourage teams to readjust the operating table during prolonged robotic cases, especially in patients with a high body mass index.
Conclusion
The patient developed neuropathic pain due to prolonged head-down positioning during surgery, which was exacerbated by his high BMI.
Supporting Evidence
- The patient experienced significant right arm pain after a prolonged robotic-assisted radical prostatectomy.
- MRI showed no progression of known degenerative changes but indicated bilateral suprascapular nerve involvement.
- The patient's high BMI was identified as a contributing factor to the nerve injury.
Takeaway
A man had arm pain after surgery because he was in a tricky position for too long, and being heavy made it worse.
Methodology
The patient underwent a robot-assisted radical prostatectomy and was monitored for postoperative complications.
Potential Biases
Potential bias in reporting due to the subjective nature of pain assessment.
Limitations
The case report is based on a single patient, limiting the generalizability of the findings.
Participant Demographics
{"age":59,"gender":"male","BMI":35.92}
Digital Object Identifier (DOI)
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