S A Cohen1, W G Hurt. 1. Department of Obstetrics and Gynecology, Virginia Commonwealth University, Medical College of Virginia Hospitals, PO Box 980034, Richmond, VA 23298-0034, USA. stcohen@hsc.vcu.edu
Abstract
BACKGROUND: Compartment syndrome is a condition in which increased tissue pressure within a limited tissue space compromises the circulation and function of the contents of the space. CASE: A 43-year-old black woman, para 3, had repair of a recurrent vesicovaginal fistula. She was placed in a low lithotomy position with thigh length sequential compression sleeves. The procedure lasted more than 5 hours. On postoperative day 1, she complained of pain in her right leg and foot. Compartment syndrome was diagnosed and emergency fasciotomy was done. CONCLUSION: Gynecologists should be aware of the possibility of compartment syndrome during prolonged procedures with patients in the lithotomy position. Concomitant intermittent compression sleeves might further increase the risk. Early diagnosis and treatment of compression syndrome are essential to minimize long-term neurovascular morbidity.
BACKGROUND: Compartment syndrome is a condition in which increased tissue pressure within a limited tissue space compromises the circulation and function of the contents of the space. CASE: A 43-year-old black woman, para 3, had repair of a recurrent vesicovaginal fistula. She was placed in a low lithotomy position with thigh length sequential compression sleeves. The procedure lasted more than 5 hours. On postoperative day 1, she complained of pain in her right leg and foot. Compartment syndrome was diagnosed and emergency fasciotomy was done. CONCLUSION: Gynecologists should be aware of the possibility of compartment syndrome during prolonged procedures with patients in the lithotomy position. Concomitant intermittent compression sleeves might further increase the risk. Early diagnosis and treatment of compression syndrome are essential to minimize long-term neurovascular morbidity.
Authors: Emanuel C A Bauer; Nicolina Koch; Christoph J Erichsen; Tobias Juettner; Daniel Rein; Wolfgang Janni; Hans G Bender; Markus C Fleisch Journal: Langenbecks Arch Surg Date: 2014-02-12 Impact factor: 3.445
Authors: Inés María Laso-García; Fernando Arias-Fúnez; Gema Duque-Ruiz; David Díaz-Pérez; Javier Lorca-Álvaro; Francisco Javier Burgos-Revilla Journal: Res Rep Urol Date: 2020-07-24
Authors: Jihee Yeon; Ye Won Jung; Shin Seok Yang; Byung Hun Kang; Mina Lee; Young Bok Ko; Jung Bo Yang; Ki Hwan Lee; Heon Jong Yoo Journal: Obstet Gynecol Sci Date: 2017-03-16