Laparoscopic surgery has benefited an immeasurable number of urologic patients in the past decade. Practitioners offer a laparoscopic approach because of its well-known advantages, including decreased postoperative pain, more rapid recovery, and improved cosmesis. Nevertheless, laparoscopy shares many of the risks of open surgery, including the potential for neuromuscular complications. Although rare, a neuromuscular injury can counteract the positive aspects of laparoscopy and result in prolonged recovery and increased, perhaps chronic, postoperative pain. Because most neuromuscular injuries occur outside of the operative field, and over a relatively prolonged time period, the surgeon must be particularly vigilant to guard against their occurrence before, during, and after the case.

Neuromuscular complications are generally well defined in the contemporary open surgical literature, but much less has been written about such injuries in the laparoscopic setting. Neuromuscular injuries comprise relatively minor incisional neuralgias, peripheral nerve damage, and limb- and life-threatening compartment syndromes resulting in rhabdomyolysis.

The most common peripheral nerves or neural structures at risk for surgery-related injury in the upper extremity are the brachial plexus and the ulnar and median nerves, whereas in the lower extremity, the femoral, obturator, and peroneal nerves are at risk.

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Peripheral Neuropathy Natural Treatment Options

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