Case Archive

Endarterectomy with Nerve Transection

Issue: Is it a departure from the standard of surgical care to completely transect the hypoglossal nerve during endarterectomy. Operative report indicates that it was inadvertently divided along with a very high facial vein and thus its distribution was described as aberrant. Primary repair was accomplished intraoperatively. MEDQUEST EXPERT RESPONSES: It is a departure. This […]

Drop Following Hernia Surgery

50 y/o female admitted for abdominal surgery for excision of abd wall hernia following uterine malignancy. The operative procedure lasted more than 9 hours with the majority of the procedure in extreme Trendelenburg position. Patient complained of leg pain immediately on arrival to PACU. The discharge note makes no mention of any complaints. Patient returned […]