Literature DB >> 33389268

Well leg compartment syndrome postorthognathic surgery under hypotensive anesthesia and reverse Trendelenburg position: a case report and literature review.

Mohammed Alshakhas1, Abdulla Alatel2.   

Abstract

INTRODUCTION: Well leg compartment syndrome is a rare postoperative condition that occurs as a result of non-traumatic ischemic insult. It has similar pathophysiology to compartment syndrome; however, no definitive etiology is identified. Several risk factors such as patient position, leg position, young age, and high BMI for the development of this condition are considered. CASE REPORT: A 30 years old male smoker and overweight, underwent mandibular and maxillary osteotomies in reverse Trendelenburg position. He developed a WLCS post-operative and treated with fasciotomy.
CONCLUSION: Increased Awareness of this rare occurrence and predisposition aids in understanding and prompt management. This article provides a rare case that has occurred in reverse Trendelenburg position with less obvious risk factors than typically reported in the literature.
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature.

Entities:  

Keywords:  Compartment syndrome; Deliberate hypotensive anesthesia; Well leg compartment syndrome

Year:  2021        PMID: 33389268     DOI: 10.1007/s10006-020-00936-6

Source DB:  PubMed          Journal:  Oral Maxillofac Surg        ISSN: 1865-1550


  19 in total

1.  Well-leg compartment syndrome.

Authors:  B Heppenstall; V Tan
Journal:  Lancet       Date:  1999-09-18       Impact factor: 79.321

2.  Intraoperative lower extremity compartment pressures in lithotomy-positioned patients.

Authors:  J Chase; F Harford; M S Pinzur; M Zussman
Journal:  Dis Colon Rectum       Date:  2000-05       Impact factor: 4.585

Review 3.  Lower limb (well leg) compartment syndrome after urological pelvic surgery.

Authors:  Asif Raza; Derek Byrne; Nick Townell
Journal:  J Urol       Date:  2004-01       Impact factor: 7.450

Review 4.  Compartment syndromes: concepts and perspectives for the anesthesiologist.

Authors:  J T Martin
Journal:  Anesth Analg       Date:  1992-08       Impact factor: 5.108

5.  Compartment syndrome following oral and maxillofacial surgery.

Authors:  S W Beadnell; J R Saunderson; D C Sorenson
Journal:  J Oral Maxillofac Surg       Date:  1988-03       Impact factor: 1.895

6.  Lower extremity complications of the lithotomy position: prevention and management.

Authors:  R G Leff; S R Shapiro
Journal:  J Urol       Date:  1979-07       Impact factor: 7.450

Review 7.  Acute compartment syndromes.

Authors:  S J Mubarak; A R Hargens
Journal:  Surg Clin North Am       Date:  1983-06       Impact factor: 2.741

Review 8.  Lower limb acute compartment syndrome after colorectal surgery in prolonged lithotomy position.

Authors:  Stefania Beraldo; Simon R Dodds
Journal:  Dis Colon Rectum       Date:  2006-11       Impact factor: 4.585

9.  Compartment syndrome associated with lithotomy position and intermittent compression stockings.

Authors:  S A Cohen; W G Hurt
Journal:  Obstet Gynecol       Date:  2001-05       Impact factor: 7.661

10.  Lower-extremity motor neuropathy associated with surgery performed on patients in a lithotomy position.

Authors:  M A Warner; J T Martin; D R Schroeder; K P Offord; C G Chute
Journal:  Anesthesiology       Date:  1994-07       Impact factor: 7.892

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