{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T15:04:21Z","timestamp":1779721461926,"version":"3.53.1"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Free flap reconstruction is the gold standard following mastectomy, yet peri-operative peripheral neuropathies remain underrecognized complications. This study aimed to identify peri-operative risk factors for upper limb peripheral nerve injury in patients undergoing autologous breast reconstruction and propose modifications to minimize risk. Out of 155 patients undergoing autologous abdominal breast reconstruction performed by a single surgeon between 2014 and 2022, eight developed transient postoperative upper limb neuropraxia. All affected patients were overweight\/obese and classified as American Society of Anesthesiologists class II. Neuropraxia was most frequently ulnar or ulnar-median; 75% of symptoms resolved within two days. Half of the cases occurred ipsilateral to arterial line placement, with increased risk following multiple cannulation attempts. Prolonged operative duration and complex reconstructions contributed to neuropraxia risk. A five-step protocol was developed to mitigate nerve injury: ultrasound-guided arterial line placement; arm abduction &amp;lt;90\u00b0; forearm supination; meticulous padding of pressure points; early postoperative limb elevation and mobilization.<\/jats:p>","DOI":"10.1093\/jscr\/rjag376","type":"journal-article","created":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T12:07:33Z","timestamp":1777637253000},"source":"Crossref","is-referenced-by-count":0,"title":["Transient peripheral neuropathy following autologous breast reconstruction: a case series and evidence-based protocol for risk reduction"],"prefix":"10.1093","volume":"2026","author":[{"given":"Denis","family":"Mulabdi\u0107","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Dr. Josip Ben\u010devi\u0107 General Hospital , Slavonski Brod, Ul. Andrije \u0160tampara 42, 35000 Slavonski Brod ,","place":["Croatia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Asher","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Norfolk and Norwich University Hospitals NHS Foundation Trust , Colney Lane, Norwich, NR4 7UY ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7818-1572","authenticated-orcid":false,"given":"Krzysztof","family":"Sosnowski","sequence":"additional","affiliation":[{"name":"School of Clinical Medicine, University of Cambridge , Hills Rd, Cambridge CB20SP ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles M","family":"Malata","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust , Hills Rd, Cambridge CB2 0QQ ,","place":["United Kingdom"]},{"name":"Anglia Ruskin University School of Medicine, Anglia Ruskin University , East Rd, Cambridge CB1 1PT ,","place":["United Kingdom"]},{"name":"Cambridge Breast Unit at Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust , Hills Rd,\u00a0Cambridge CB2 0QQ ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,24]]},"reference":[{"key":"2026052510354229800_ref1","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1097\/PRS.0b013e318208d12a","article-title":"Patient satisfaction in unilateral and bilateral breast reconstruction","volume":"127","author":"Craft","year":"2011","journal-title":"Plast Reconstr Surg"},{"key":"2026052510354229800_ref2","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1097\/PRS.0000000000005197","article-title":"Autologous breast reconstruction after failed implant-based 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