Postoperative non-traumatic compartment syndrome (PNCS) in gynecologic surgery
Purpose The postoperative non-traumatic compartment syndrome (PNCS) is a rare, but serious postoperative complication. Etiology, risk factors and clinical manifestation of PNCS are not well characterized since data in gynecologic and obstetric patients are limited. Methods We performed a retrospecti...
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| Veröffentlicht in: | Archives of gynecology and obstetrics 2020-04, Vol.301 (4), p.1013-1019 |
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| container_title | Archives of gynecology and obstetrics |
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| creator | Lia, Massimiliano Radosa, Julia Caroline Younes, Shadi Fiehn, Andreas Buerger, Thomas Mothes, Anke Aktas, Bahriye Radosa, Marc Philipp |
| description | Purpose
The postoperative non-traumatic compartment syndrome (PNCS) is a rare, but serious postoperative complication. Etiology, risk factors and clinical manifestation of PNCS are not well characterized since data in gynecologic and obstetric patients are limited.
Methods
We performed a retrospective monocentric study of patients who underwent surgery for gynecologic or obstetrics conditions and identified five cases of PNCS, which were analyzed and compared to a control cohort in regard of incidence, clinical presentation, risk factors and clinical outcome.
Results
Five cases of PNCS were identified among 19.432 patients treated between 2008 and 2019 with an incidence rate of 0.026%. The clinical examination was shown to be unreliable, lacking sensitivity in most clinical signs. Young age, obesity and long operation time were risk factors for the development of a PNCS. Fasciotomy for the treatment of a PNCS should not be delayed, since permanent function loss may occur early.
Conclusion
A low threshold of clinical suspicion might be prudent to identify PNCS following gynecologic surgery. In the presence of the described risk factors, any suspicion of a PNCS should be evaluated further and if necessary treated with fasciotomy urgently. |
| doi_str_mv | 10.1007/s00404-020-05480-y |
| format | Article |
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The postoperative non-traumatic compartment syndrome (PNCS) is a rare, but serious postoperative complication. Etiology, risk factors and clinical manifestation of PNCS are not well characterized since data in gynecologic and obstetric patients are limited.
Methods
We performed a retrospective monocentric study of patients who underwent surgery for gynecologic or obstetrics conditions and identified five cases of PNCS, which were analyzed and compared to a control cohort in regard of incidence, clinical presentation, risk factors and clinical outcome.
Results
Five cases of PNCS were identified among 19.432 patients treated between 2008 and 2019 with an incidence rate of 0.026%. The clinical examination was shown to be unreliable, lacking sensitivity in most clinical signs. Young age, obesity and long operation time were risk factors for the development of a PNCS. Fasciotomy for the treatment of a PNCS should not be delayed, since permanent function loss may occur early.
Conclusion
A low threshold of clinical suspicion might be prudent to identify PNCS following gynecologic surgery. In the presence of the described risk factors, any suspicion of a PNCS should be evaluated further and if necessary treated with fasciotomy urgently.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-020-05480-y</identifier><identifier>PMID: 32140808</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Blood pressure ; Body mass index ; Cohort Studies ; Compartment syndrome ; Compartment Syndromes - etiology ; Compartment Syndromes - pathology ; Endocrinology ; Female ; General Gynecology ; Gynecologic Surgical Procedures - adverse effects ; Gynecologic Surgical Procedures - methods ; Gynecology ; Hospitals ; Human Genetics ; Humans ; Laparoscopy ; Lymphatic system ; Medicine ; Medicine & Public Health ; Obstetrics ; Obstetrics/Perinatology/Midwifery ; Pain ; Patients ; Postoperative Complications - etiology ; Retrospective Studies ; Risk Factors ; Surgery</subject><ispartof>Archives of gynecology and obstetrics, 2020-04, Vol.301 (4), p.1013-1019</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2020). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-7fbfcba92014ebcde2ae9ef694a0b94d35c18c17ab8fcd750757f60503ba255b3</cites><orcidid>0000-0001-6695-3910</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-020-05480-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-020-05480-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32140808$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lia, Massimiliano</creatorcontrib><creatorcontrib>Radosa, Julia Caroline</creatorcontrib><creatorcontrib>Younes, Shadi</creatorcontrib><creatorcontrib>Fiehn, Andreas</creatorcontrib><creatorcontrib>Buerger, Thomas</creatorcontrib><creatorcontrib>Mothes, Anke</creatorcontrib><creatorcontrib>Aktas, Bahriye</creatorcontrib><creatorcontrib>Radosa, Marc Philipp</creatorcontrib><title>Postoperative non-traumatic compartment syndrome (PNCS) in gynecologic surgery</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Purpose
The postoperative non-traumatic compartment syndrome (PNCS) is a rare, but serious postoperative complication. Etiology, risk factors and clinical manifestation of PNCS are not well characterized since data in gynecologic and obstetric patients are limited.
Methods
We performed a retrospective monocentric study of patients who underwent surgery for gynecologic or obstetrics conditions and identified five cases of PNCS, which were analyzed and compared to a control cohort in regard of incidence, clinical presentation, risk factors and clinical outcome.
Results
Five cases of PNCS were identified among 19.432 patients treated between 2008 and 2019 with an incidence rate of 0.026%. The clinical examination was shown to be unreliable, lacking sensitivity in most clinical signs. Young age, obesity and long operation time were risk factors for the development of a PNCS. Fasciotomy for the treatment of a PNCS should not be delayed, since permanent function loss may occur early.
Conclusion
A low threshold of clinical suspicion might be prudent to identify PNCS following gynecologic surgery. In the presence of the described risk factors, any suspicion of a PNCS should be evaluated further and if necessary treated with fasciotomy urgently.</description><subject>Adult</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Cohort Studies</subject><subject>Compartment syndrome</subject><subject>Compartment Syndromes - etiology</subject><subject>Compartment Syndromes - pathology</subject><subject>Endocrinology</subject><subject>Female</subject><subject>General Gynecology</subject><subject>Gynecologic Surgical Procedures - adverse effects</subject><subject>Gynecologic Surgical Procedures - methods</subject><subject>Gynecology</subject><subject>Hospitals</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Lymphatic system</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obstetrics</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Pain</subject><subject>Patients</subject><subject>Postoperative Complications - etiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Surgery</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kF1LwzAUhoMobk7_gBdS8GZeVE8-2qSXMvyCMQfqdUjTdGysyUxaof_ezE0FL7xKQp73PYcHoXMM1xiA3wQABiwFAilkTEDaH6AhZpSkwDE-REMotnfI-QCdhLACwESI_BgNKMEMBIghms1daN3GeNUuP0xinU1br7omPnWiXbNRvm2MbZPQ28q7xiTj-WzycpUsbbLordFu7RYRDZ1fGN-foqNarYM5258j9HZ_9zp5TKfPD0-T22mqKcnblNdlrUtVEMDMlLoyRJnC1HnBFJQFq2imsdCYq1LUuuIZ8IzXOWRAS0WyrKQjNN71brx770xoZbMM2qzXyhrXBUkoZ5QWmENEL_-gK9d5G7eLlKCCC4ieRojsKO1dCN7UcuOXjfK9xCC3tuXOtoy25Zdt2cfQxb66KxtT_US-9UaA7oAQv2wU9Dv7n9pPwM2LUg</recordid><startdate>20200401</startdate><enddate>20200401</enddate><creator>Lia, Massimiliano</creator><creator>Radosa, Julia Caroline</creator><creator>Younes, Shadi</creator><creator>Fiehn, Andreas</creator><creator>Buerger, Thomas</creator><creator>Mothes, Anke</creator><creator>Aktas, Bahriye</creator><creator>Radosa, Marc Philipp</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6695-3910</orcidid></search><sort><creationdate>20200401</creationdate><title>Postoperative non-traumatic compartment syndrome (PNCS) in gynecologic surgery</title><author>Lia, Massimiliano ; Radosa, Julia Caroline ; Younes, Shadi ; Fiehn, Andreas ; Buerger, Thomas ; Mothes, Anke ; Aktas, Bahriye ; Radosa, Marc Philipp</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-7fbfcba92014ebcde2ae9ef694a0b94d35c18c17ab8fcd750757f60503ba255b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Blood pressure</topic><topic>Body mass index</topic><topic>Cohort Studies</topic><topic>Compartment syndrome</topic><topic>Compartment Syndromes - etiology</topic><topic>Compartment Syndromes - pathology</topic><topic>Endocrinology</topic><topic>Female</topic><topic>General Gynecology</topic><topic>Gynecologic Surgical Procedures - adverse effects</topic><topic>Gynecologic Surgical Procedures - methods</topic><topic>Gynecology</topic><topic>Hospitals</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Lymphatic system</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obstetrics</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Pain</topic><topic>Patients</topic><topic>Postoperative Complications - etiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lia, Massimiliano</creatorcontrib><creatorcontrib>Radosa, Julia Caroline</creatorcontrib><creatorcontrib>Younes, Shadi</creatorcontrib><creatorcontrib>Fiehn, Andreas</creatorcontrib><creatorcontrib>Buerger, Thomas</creatorcontrib><creatorcontrib>Mothes, Anke</creatorcontrib><creatorcontrib>Aktas, Bahriye</creatorcontrib><creatorcontrib>Radosa, Marc Philipp</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lia, Massimiliano</au><au>Radosa, Julia Caroline</au><au>Younes, Shadi</au><au>Fiehn, Andreas</au><au>Buerger, Thomas</au><au>Mothes, Anke</au><au>Aktas, Bahriye</au><au>Radosa, Marc Philipp</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postoperative non-traumatic compartment syndrome (PNCS) in gynecologic surgery</atitle><jtitle>Archives of gynecology and obstetrics</jtitle><stitle>Arch Gynecol Obstet</stitle><addtitle>Arch Gynecol Obstet</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>301</volume><issue>4</issue><spage>1013</spage><epage>1019</epage><pages>1013-1019</pages><issn>0932-0067</issn><eissn>1432-0711</eissn><abstract>Purpose
The postoperative non-traumatic compartment syndrome (PNCS) is a rare, but serious postoperative complication. Etiology, risk factors and clinical manifestation of PNCS are not well characterized since data in gynecologic and obstetric patients are limited.
Methods
We performed a retrospective monocentric study of patients who underwent surgery for gynecologic or obstetrics conditions and identified five cases of PNCS, which were analyzed and compared to a control cohort in regard of incidence, clinical presentation, risk factors and clinical outcome.
Results
Five cases of PNCS were identified among 19.432 patients treated between 2008 and 2019 with an incidence rate of 0.026%. The clinical examination was shown to be unreliable, lacking sensitivity in most clinical signs. Young age, obesity and long operation time were risk factors for the development of a PNCS. Fasciotomy for the treatment of a PNCS should not be delayed, since permanent function loss may occur early.
Conclusion
A low threshold of clinical suspicion might be prudent to identify PNCS following gynecologic surgery. In the presence of the described risk factors, any suspicion of a PNCS should be evaluated further and if necessary treated with fasciotomy urgently.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32140808</pmid><doi>10.1007/s00404-020-05480-y</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-6695-3910</orcidid></addata></record> |
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| identifier | ISSN: 0932-0067 |
| ispartof | Archives of gynecology and obstetrics, 2020-04, Vol.301 (4), p.1013-1019 |
| issn | 0932-0067 1432-0711 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Adult Blood pressure Body mass index Cohort Studies Compartment syndrome Compartment Syndromes - etiology Compartment Syndromes - pathology Endocrinology Female General Gynecology Gynecologic Surgical Procedures - adverse effects Gynecologic Surgical Procedures - methods Gynecology Hospitals Human Genetics Humans Laparoscopy Lymphatic system Medicine Medicine & Public Health Obstetrics Obstetrics/Perinatology/Midwifery Pain Patients Postoperative Complications - etiology Retrospective Studies Risk Factors Surgery |
| title | Postoperative non-traumatic compartment syndrome (PNCS) in gynecologic surgery |
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