Prospective randomized controlled trial comparing cephalad migration in robotic gynecologic surgery using egg-crate foam versus the Pink Pad®

Steck-Bayat, K.P.; Henderson, S.; Aguirre, Alberto de Barros; Smith, Richard F.; Mahnert, Nichole; Gerkin, Richard; Mourad, J.

doi:10.1007/s11701-019-00990-7

Cited by 6 publications

(4 citation statements)

References 11 publications

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“…In addition, the RARP procedure can cause subcutaneous emphysema around the neck [ 14 ]. Moreover, the cephalad move of the patient occurs due to the Trendelenburg position in RAPS [ 15 ]. On the other hand, when the patient is in the Trendelenburg position, the changes in the mean contact area for the shoulders did not show a significant difference [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Upper extremity contact pressure measurement in robot-assisted pelvic surgery

Kimura,

Yamada,

Hakozaki

et al. 2024

J Robotic Surg

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Upper extremity complications are often a problem in robot-assisted pelvic surgery (RAPS) with the lithotomy-Trendelenburg position (LT-position). This study focused on upper extremity contact pressure (UEP) and examined the relationship between UEP and upper extremity complications. From May 2020 to April 2022 at the University of Tokyo Hospital, UEP was measured in 155 patients undergoing RARP and 20 patients undergoing RARC. A total of 350 sets of UEP were investigated in this study. UEP was measured using a portable interface pressure sensor (Palm Q, Cape CO., Kanagawa, Japan) in the preoperative lithotripsy position (L-position), preoperative LT-position, and postoperative L-position. UEP was increased in the preoperative LT-position than in the preoperative L-position (right side 5.2 mmHg vs. 17.1 mmHg, left side 5.3 mmHg vs. 17.1 mmHg, P < 0.001, respectively), and was decreased in the postoperative L-position than in preoperative LT-position (right side 17.1 mmHg vs. 10.8 mmHg, left side 17.1 mmHg vs. 10.6 mmHg, P < 0.001, respectively). Eleven upper extremities developed shoulder pain. UEP of the preoperative LT-position tended to be higher in the upper extremity exhibiting shoulder pain (25.6 mmHg (15.4–30.3) vs. 17.1 mmHg (12.0–24.4) P = 0.0901). UEP measurements may help prevent postoperative shoulder pain.

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Section: Discussionmentioning

confidence: 99%

Upper extremity contact pressure measurement in robot-assisted pelvic surgery

Kimura,

Yamada,

Hakozaki

et al. 2024

J Robotic Surg

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“…5,26 Furthermore another latter trial compared the nonsliding mattress Pink Pad to egg-crate foam pad and found less cephalad migration with the egg-crate foam pad. 7 With the increased practice of minimally invasive surgery, several case reports concerning brachial plexopathy after laparoscopic colorectal surgery are published. 5,8,10,27,28 The localization of PPN from both cohorts in this study was consistent with earlier findings [29][30][31] and so was the distribution of symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…Thus PPN was defined as any symptom of nerve affection such as pain, hyperesthesia, anesthesia, paresthesia, and paresis occurring after surgery. 1,16 Pain was further quantified using visual analog scale (VAS) (1)(2)(3)(4)(5)(6)(7)(8)(9)(10). Patients were furthermore asked to point out the localization of symptoms by an illustration of the body.…”

Section: Methodsmentioning

confidence: 99%

“…This position is known to place patients at risk of PPN, but the exact etiology is thought to be multifactorial. 7,8 Ulnar nerve injuries are the most common type of nerve injury and brachial plexus the second concerning affection of the upper extremities. Involvement of the median, radial, femoral, sciatic, and common peroneal nerve has been reported as well.…”

Section: Introductionmentioning

confidence: 99%

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Position-Related Postoperative Peripheral Neuropathy After Laparoscopic Colorectal Surgery: A Comparative Single-Center Prospective Cohort Study

Wolthers

Lassen

Rasmussen

et al. 2022

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Background: Laparoscopic colorectal surgery requires perioperative positioning in the dorsal lithotomy position and intermittent Trendelenburg position. This position is associated with postoperative peripheral neuropathy (PPN), which is a substantial cause of anesthesia-related claims. The objective of this study was to assess the incidence of PPN of patients positioned in lithotomy position with shoulder braces, and second to compare this group with patients positioned on the foam mattress Pink Pad Ò . Materials and Methods: This consecutive single-center prospective cohort study of 155 patients undergoing colorectal surgery was performed between November 2014 and June 2015. After initial results the implementation of the Pink Pad took place and a total of 52 patients were included between May 2016 and February 2017 to compare the two groups. Results: Positioning with the shoulder brace regimen during laparoscopic colorectal surgery was related to the development of PPN in 33% of cases, as opposed to 15% with Pink Pad. Positioning with shoulder braces increased the risk of PPN with an odds ratio of 3.14 (95% confidence interval: 1.10-8.992) when compared with positioning on Pink Pad. Conclusion: Position-related PPN is an important complication after laparoscopic colorectal surgery. This study concludes that careful attention should be paid to positioning and favors Pink Pad over positioning with shoulder braces. Prolonged time in anesthesia is a predictor of PPN. Clinical Trial Number: H-2-2014-FSP75.

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Maximizing Intraoperative Performance and Safety During Incontinence Surgery

Chrouser

Goh

2022

Female Urinary Incontinence

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Prospective randomized controlled trial comparing cephalad migration in robotic gynecologic surgery using egg-crate foam versus the Pink Pad®

Cited by 6 publications

References 11 publications

Upper extremity contact pressure measurement in robot-assisted pelvic surgery

Upper extremity contact pressure measurement in robot-assisted pelvic surgery

Position-Related Postoperative Peripheral Neuropathy After Laparoscopic Colorectal Surgery: A Comparative Single-Center Prospective Cohort Study

Maximizing Intraoperative Performance and Safety During Incontinence Surgery

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