Hyperbaric oxygen therapy in peroneal nerve damage due to lithotomy position
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Date
2019
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info:eu-repo/semantics/openAccess
Abstract
Peripheral neuropathies can be seen in patients who are operated in lithotomy position. In this case report, patient which had right
drop foot after urethroplasty surgery in lithotomy position was treated. Electromyography (EMG) was performed at postoperative
1st day and demonstrated right peroneal nerve palsy. Physiotherapy (knee extension, cycling, and passive dorsiflexion), vitamin
B complex (B1, B6, folic acid and B12) and daily hyperbaric oxygen treatment were started. Fifth day after surgery, improvement
of moving the right foot was detected clinically. Patient was discharged on 7th postoperative day and neurologist suggested to
continue physiotherapy and vitamin B complex for 3 weeks. After this period, control EMG showed the development of peroneal nerve
functions. The patient had a fully functional right foot with all these treatments one month after surgery. Effectivity of hyperbaric
oxygen in treatment of peripheral nerve degeneration was seen in several studies in literature (4). In a few studies, the effect of
hyperbaric oxygen on peroneal nerve palsy has not been demonstrated (5). The patient recovered earlier than other patients in
literature. In this case, the treatment difference was hyperbaric oxygen treatment from other cases in literature. Before the start of
lithotomy operations, patients should be carefully evaluated for peroneal nerve palsy risk factors and appropriately positioned to
prevent iatrogenic peroneal nerve palsy in the operation. After operation, if peroneal nerve palsy develops, physiotherapy should start
as soon as possible. Hyperbaric oxygen is kept in mind as supplemental treatment even if it is not in standard treatment protocol in
peroneal nerve palsy
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Journal or Series
Annals of Medical Research
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Citation
Akan, S., Ediz, C., Cihan Temel, M., & Yilmaz, O. (2021). Hyperbaric oxygen therapy in peroneal nerve damage due to lithotomy position . Annals of Medical Research
