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Clinical and Experimental Obstetrics & Gynecology  2020, Vol. 47 Issue (3): 449-451    DOI: 10.31083/j.ceog.2020.03.5071
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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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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.

Key words:  Lithotomy position      Lower limb (healthy leg)      Compartment syndrome      Venous thromboembolism     
Submitted:  04 November 2018      Accepted:  24 January 2019      Published:  15 June 2020     
*Corresponding Author(s):  XIAOYU WANG     E-mail:

Cite this article: 

S.L. Zheng, X. Zhang, J. Lai, X.S. Gao, X.Y. Wang. Lower limb (healthy leg) compartment syndrome after the patient was in the lithotomy position during the operation: a case study. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 449-451.

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Figure 1. —  (A) Bilateral calf osteofascial compartment are marked along the operative incision to achieve complete decompression. (B) Incision in the bilateral legs are positioned so as to accommodate negative pressure drainage (VSD) to absorb tissue effusions.

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