POSITIONAL NEUROPATHIES IN PELVIC SURGERY: LITERATURE REVIEW

D.V. Aleksantsev, Z.Z. Mamedli, A.V. Polynovsky, U.N. Babadzhanov, E.A. Mustafazade

N.N. Blokhin National Medical Research Center of Oncology, Moscow

Aleksantsev Denis V. ― resident of the N.N. Blokhin National Medical Research Center of Oncology

23 Kashirskoe highway, Moscow, 115522, Russian Federation, tel. +7-968-357-22-15, e-mail: alexancev@gmail.com, ORCID ID: 0000-0002-6478-0005

Abstract. Patient safety is a fundamental principle of medical care and now it has become the most important global health issue. Patient safety is defined as the absence of preventable harm to a patient and reduction of risk of unnecessary harm associated with health care.

Worldwide, there is a rapid increase in the number of minimally invasive surgical operations in pelvic surgery. Robotic and laparoscopic surgery have significant benefits for patients: low risk of wound complications, lower intensity of postoperative pain, faster recovery and shorter hospital stay. However new technologies often require more extreme patient exposure, which can lead to the development of adverse physiological effects. Neuropathies of the upper and lower extremities are most common among all positional disorders. They can be both quickly reversible and persist for a long time, leading patients to disability

Key words: positional neuropathies, postoperative complications, pelvic surgery, Trendelenburg position, brachial plexus injury.