Sarcoma Excision and Pattern of Complicating Sensory NeuropathyReport as inadecuate




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ISRN Oncology - Volume 2014 2014, Article ID 168698, 6 pages -

Research Article

University of Edinburgh, General Surgery Unit, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK

Edinburgh University, 4A Howe Street, Newtown EH36TD, UK

Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK

Received 4 February 2014; Accepted 6 March 2014; Published 24 March 2014

Academic Editors: A. Celetti, A. Goussia, and A. H. Wolfson

Copyright © 2014 Neil R. Wickramasinghe et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A potential complication of sarcoma excision surgery is a sensory neurological dysfunction around the surgical scar. This study utilised both objective and subjective sensation assessment modalities, to evaluate 22 patients after sarcoma surgery, for a sensory deficit. 93% had an objective sensory deficit. Light touch is less likely to be damaged than pinprick sensation, and two-point discrimination is significantly reduced around the scar. Results also show that an increased scar size leads to an increased light touch and pinprick deficit and that two-point discriminatory ability around the scar improves as time after surgery elapses. 91% had a subjective deficit, most likely tingling or pain, and numbness was most probable with lower limb sarcomas. Results also demonstrated that there were no significant relationships between any specific subjective and objective deficits. In conclusion, sensory disturbance after sarcoma surgery is common and debilitating. Efforts to minimize scar length are paramount in the prevention of sensory deficit. Sensation may also recover to an extent; thus, sensory reeducation techniques must become an integral aspect of management plans. Finally to obtain a comprehensive assessment of sensory function, both objective and subjective assessment techniques must be utilised.





Author: Neil R. Wickramasinghe, Nicholas D. Clement, Ashish Singh, and Daniel E. Porter

Source: https://www.hindawi.com/



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