* [Positioning Injuries to Peripheral Nerves during Laparoscopic Colon and Rectum Surgery].
- Laparoscopic colon and rectum operations expose peripheral nerves to risk due to extreme patient positions needed to achieve gravity displacement during the surgical procedures. The general incidence of position-caused nerve injuries in surgery is not well known and is estimated to be about 0.5 % in the literature. There are no current data concerning laparoscopic operations. This study assesses the incidence and outcome of surgery-associated neurological symptoms after laparoscopic colon and rectum surgical procedures. We analysed the number of position-caused nerve injuries and their outcome from 1992-2010 in a prospectively managed data base. Risk factors like age, BMI, procedure duration and abduction of the upper extremities were analysed. There were 19 (0.7 %) position-caused nerve injuries among 2698 laparoscopic operations on the colon and rectum. The incidence of surgery-associated neurological symptoms was 1.08 % after laparoscopic rectum and 0.54 % after laparoscopic colon surgical procedures. Both operation time (267 vs. 185 minutes) and BMI (27.93 vs. 25.79 kg/m(2)) were revealed as risk factors for position-caused nerve injuries. Adduction of the upper extremities reduced the incidence of positioning nerve injuries from 0.23 % to 0.1 %. Postoperative neurological symptoms were in most cases reversible (89.47 %). The incidence of postoperative nerve injuries since 2007 is low after laparoscopic rectum and colon operations and is mostly completely reversible. Both procedure duration and BMI are probable risk factors for surgery-associated nerve injuries. Adduction of the upper extremities provides an opportunity to reduce position-caused nerve injuries.
Overview of noun factor
The noun factor has 7 senses (first 4 from tagged texts)
1. (31) factor -- (anything that contributes causally to a result; "a number of factors determined
the outcome")
2. (8) component, constituent, element, factor, ingredient -- (an abstract part of something;
"jealousy was a component of his character"; "two constituents of a musical composition are melody
and harmony"; "the grammatical elements of a sentence"; "a key factor in her success"; "humor: an
effective ingredient of a speech")
3. (4) divisor, factor -- (one of two or more integers that can be exactly divided into another
integer; "what are the 4 factors of 6?")
4. (1) agent, factor, broker -- (a businessman who buys or sells for another in exchange for a
commission)
5. factor -- (any of the numbers (or symbols) that form a product when multiplied together)
6. factor -- (an independent variable in statistics)
7. gene, cistron, factor -- ((genetics) a segment of DNA that is involved in producing a polypeptide
chain; it can include regions preceding and following the coding DNA as well as introns between the
exons; it is considered a unit of heredity; "genes were formerly called factors")
Overview of verb factor
The verb factor has 3 senses (first 1 from tagged texts)
1. (2) factor, factor in, factor out -- (resolve into factors; "a quantum computer can factor the
number 15")
2. factor -- (be a contributing factor; "make things factor into a company's profitability")
3. factor, factor in, factor out -- (consider as relevant when making a decision; "You must factor
in the recent developments")
--- WordNet end ---