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Lower limb (healthy leg) compartment syndrome after the patient was in the lithotomy position during the operation: a case study |
S.L. Zheng1, X. Zhang1, J. Lai1, X.S. Gao1, X.Y. Wang1, *( ) |
1The First Affiliated Hospital of Jinan University, Dept Gynecol & Obstet, 613 Western Huangpu Ave Tianhe Dist, Guangzhou 510630, Guangdong, P.R. China |
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Abstract In this case report, we describe compartment syndrome of the lower extremities that occurred during and after the operation in a patient with a gynecologic tumor who underwent minimally invasive surgery in the lithotomy position to prevent venous thrombosis. Lower limb compartment syndrome has also been reported in a number of other similar cases. The use of sequential compression stockings for deep venous thrombosis prophylaxis in patients in the lithotomy position is inappropriate. We expect to have a complete set of guidelines or expert consensus to guide the prevention of venous thrombosis in minimally invasive surgery for patients with gynecologic tumors.
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Submitted: 04 November 2018
Accepted: 24 January 2019
Published: 15 June 2020
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*Corresponding Author(s):
XIAOYU WANG
E-mail: twxy163@163.com
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[1] |
Turnbull D., Farid A., Hutchinson S., Shorthouse A., Mills G.H.: “Calf compartment pressures in the Lloyd-Davies position: a cause for concern?” Anaesthesia, 2002, 57, 905.
doi: 10.1046/j.1365-2044.2002.02744.x
pmid: 12190756
|
[2] |
Mizuno J., Takahashi T.: “Male sex, height, weight, and body mass index can increase external pressure to calf region using knee-crutchtype leg holder system in lithotomy position”. Ther. Clin. Risk Manag, 2016, 12, 305.
doi: 10.2147/TCRM.S86934
pmid: 26955278
|
[3] |
Verdolin M.H., Toth A.S., Schroeder R.: “Bilateral lower extremity compartment syndromes following prolonged surgery in the low lithotomy position with serial compression stockings”. Anaesthesiology, 2000, 92, 1189.
doi: 10.1097/00000542-200004000-00038
|
[4] |
Bauer E.C., Koch N., Janni W., Bender H.G., Fleisch M.C.: “Compartment syndrome after gynecologic operations: evidence from case reports and reviews”. Eur. J. Obstet. Gynecol. Reprod. Biol., 2014, 173, 7.
doi: 10.1016/j.ejogrb.2013.10.034
pmid: 24290432
|
[5] |
Newman P.A., Deo S.: “Non-traumatic compartment syndrome secondary to deep vein thrombosis and anticoagulation”. BMJ Case Rep., 2014, bcr2013201689.
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[6] |
Takeda S., Tatebe M., Sakai A., Hirata H.: “Two cases of unidentified acute compartment syndrome”. BMJ Case Rep., 2018, bcr2017-222377.
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