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Lower limb compartment syndrome complicating pelvic pouch surgery

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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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References

  1. 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

    Google Scholar 

  2. 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

    Google Scholar 

  3. 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

    Google Scholar 

  4. MacIntosh EL, Blanchard RJ (1991) Compartment syndrome after surgery in the lithotomy position. Can J Surg 34: 359–362

    Google Scholar 

  5. Montgomery CJ, Ready LB (1991) Epidural opioid analgesia does not obscure diagnosis of compartment syndrome resulting from prolonged lithotomy position. Anesthesiology 75: 541–3

    Google Scholar 

  6. 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

    Google Scholar 

  7. Neagle CE, Schaffer JL, Hepenstall RB (1991) Compartment syndrome complicating prolonged use of the lithotomy position. Surgery 110: 566–9

    Google Scholar 

  8. Peters P Baker SR, Leopold PW, Taub NA, Burnand KG (1994) Compartment syndrome following prolonged pelvic surgery. Br J Surg 81: 1128–1131

    Google Scholar 

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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

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