Abstract
A 10-year-old boy who underwent prolonged pelvic surgery in the Lloyd-Davies position developed a postoperative lower limb compartment syndrome that was successfully treated by urgent fasciotomy. The clinical and aetiological aspects of this increasingly reported complication must be recognised if serious sequelae are to be avoided.
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Beerle BJ, Rose RJ (1993) Lower extremity compartment syndrome from prolonged lithotomy position not masked by epidural bupivacaine and fentanyl. Reg Anesth 18: 189–190
Bergqvist D, Bohe M, Ekelund G, Hellsten S, Jiborn H, Persson NH, et al (1990) Compartment syndrome after prolonged surgery with leg supports. Int J Colorectal Dis 5: 1–5
Fischer JE, Nussbaum MS, Martin LW, Warner BW, Flesch L, Staneck JL, et al (1993) The pull-through procedure: technical factors in influencing outcome, with emphasis on pouchitis. Surgery 114: 828–835
MacIntosh EL, Blanchard RJ (1991) Compartment syndrome after surgery in the lithotomy position. Can J Surg 34: 359–362
Montgomery CJ, Ready LB (1991) Epidural opioid analgesia does not obscure diagnosis of compartment syndrome resulting from prolonged lithotomy position. Anesthesiology 75: 541–3
Mulhall JP, Drezner AD (1993) Postoperative compartment syndrome and the lithotomy position: a report of three cases and analysis of potential risk factors. Conn Med 57: 129–133
Neagle CE, Schaffer JL, Hepenstall RB (1991) Compartment syndrome complicating prolonged use of the lithotomy position. Surgery 110: 566–9
Peters P Baker SR, Leopold PW, Taub NA, Burnand KG (1994) Compartment syndrome following prolonged pelvic surgery. Br J Surg 81: 1128–1131
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Stringer, M.D., Sutton, P., Cruickshank, J. et al. Lower limb compartment syndrome complicating pelvic pouch surgery. Pediatr Surg Int 10, 504–505 (1995). https://doi.org/10.1007/BF00176400
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DOI: https://doi.org/10.1007/BF00176400