XXXX during Putti-Platt and Bristow procedures. A report of eight cases.

@entity1 @entity129 @entity16 @entity2065 @entity1317 @entity912 @entity2685
Eight @entity1 with documented recurrent @entity2065 sustained iatrogenic @entity2685 during either Putti-Platt or Bristow procedures. Two @entity1 also sustained axillary @entity1317 . There were six males and two females. Postoperatively, complete @entity912 of the musculocutaneous nerve was noted in six cases and incomplete @entity912 in one case. Two @entity1 had @entity129 . There were two cases of partial @entity912 of the radial, median, and ulnar nerves, respectively. Seven of the @entity1 underwent brachial plexus exploration an average of 16 weeks following their initial operation (range, 4 to 40). Suture material was removed from around or within two musculocutaneous nerves and one ulnar, one median, and one axillary nerve. Two lacerated musculocutaneous nerves were amenable to delayed primary repair. Two musculocutaneous, one median and one axillary nerve required grafting. @entity2685 was associated with inadequate knowledge of regional anatomy, blind clamping of axillary artery lacerations, use of axillary incisions which limited exposure, and failure to identify the musculocutaneous nerve during Bristow procedures. If a @entity2685 occurs during a Putti-Platt or a Bristow procedure and the lesion does not rapidly, progressively, and completely recover, the brachial plexus should be explored since there is a high likelihood of structural @entity16 .
