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Ann Thorac Surg 2009;88:1335-1337. doi:10.1016/j.athoracsur.2009.01.063
© 2009 The Society of Thoracic Surgeons
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Tommi Pätilä
Eero I. Sihvo
Jari V. Räsänen
Ari Harjula
Jarmo A. Salo
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Case Reports

Paralysis of the Upper Rectus Abdominis Muscle After Video-Assisted or Open Thoracic Surgery: An Underdiagnosed Complication?

Tommi Pätilä, MDa, Eero I. Sihvo, MD, PhDa, Jari V. Räsänen, MD, PhDa, Raimo Ramstad, MDb, Ari Harjula, MD, PhDa, Jarmo A. Salo, MD, PhDa,*

a Department of Cardiothoracic Surgery, Helsinki University Central Hospital, Helsinki, Finland
b Department of Clinical Neurophysiology, Helsinki University Central Hospital, Helsinki, Finland

Accepted for publication January 26, 2009.

* Address correspondence to Dr Salo, Division of General Thoracic and Esophageal Surgery, Department of Cardiothoracic Surgery, Helsinki University Central Hospital, P.O. Box 340, Haartmaninkatu 4, Helsinki, FIN-00029 HUS, Finland (Email: jarmo.salo{at}hus.fi).

In open or video-assisted thoracic surgery, injury to one to four intercostal sensory nerves is a well-recognized complication. This nerve damage is a well-defined cause for chronic postoperative pain. In this discussion, the motor innervation of the rectus abdominis muscle with the T7 to T12 intercostal nerves has been neglected. Paralysis of rectus abdominis might pose significant burden on patients, delay recovery, and thus warrants exploration.






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