The dangers of lithotomy positioning in the operating room: case report of bilateral lower extremity compartment syndrome after a 90-minutes surgical procedure
作者： Nicole Stornelli , Frank B. Wydra , Justin J. Mitchell , Philip F. Stahel , Stefka Fabbri
DOI: 10.1186/S13037-016-0106-9
关键词: Lithotomy position 、 RUPTURED ECTOPIC PREGNANCY 、 Prolonged Surgery 、 Medicine 、 Compartment (pharmacokinetics) 、 Severe complication 、 Fasciotomy 、 Complication 、 Surgery 、 Adverse effect
摘要: Lower extremity acute compartment syndrome after gynecologic surgery in the lithotomy position is a rare, yet potentially devastating complication. A high level of suspicion paramount for early recognition and mitigation originating from prolonged position. 23-year-old female, gravida 1, para 0, underwent laparoscopic salpingectomy ruptured ectopic pregnancy. Surgical time was 90 min. Postoperatively, patient developed both legs necessitating emergent bilateral four-compartment fasciotomies, with repeated returns to operating room 2nd look procedures delayed wound closures. The regained full function within 3 months returned an unrestricted baseline activity level. Technical diligence applying preventing postoperative lower syndrome. this severe complication conjunction immediate surgical management can mitigate long-term adverse sequelae improve outcomes.
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