Lithotomy-related neurovascular complications in the lower limbs after colorectal surgery

Aim  To review the literature on lithotomy‐related neurovascular complications (LRNVC) of the lower limbs after colorectal surgery. Method  Electronic databases were searched for relevant articles, including Medline, EMBASE, Pubmed, CENTRAL and CINHL. Results  LRNVC after prolonged lithotomy positio...

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Veröffentlicht in:Colorectal disease 2011-11, Vol.13 (11), p.1203-1213
Hauptverfasser: Sajid, M. S., Shakir, A. J., Khatri, K., Baig, M. K.
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container_end_page 1213
container_issue 11
container_start_page 1203
container_title Colorectal disease
container_volume 13
creator Sajid, M. S.
Shakir, A. J.
Khatri, K.
Baig, M. K.
description Aim  To review the literature on lithotomy‐related neurovascular complications (LRNVC) of the lower limbs after colorectal surgery. Method  Electronic databases were searched for relevant articles, including Medline, EMBASE, Pubmed, CENTRAL and CINHL. Results  LRNVC after prolonged lithotomy position during colorectal surgery can be classified into vascular, neurological and neurovascular combined. Compartment syndrome (CS) is the most common clinical presentation. Seven case reports and 10 case series on 34 patients (27 men, 6 women) with CS have been reported. Risk factors included the lithotomy position and duration of surgery of more than 4 h. Conclusion  In colorectal surgery, lower limb LRNCVs, and CS are rare. A high index of clinical suspicion and early decompression may reduce morbidity.
doi_str_mv 10.1111/j.1463-1318.2010.02314.x
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Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland</rights><rights>2011 The Authors. 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J.</creatorcontrib><creatorcontrib>Khatri, K.</creatorcontrib><creatorcontrib>Baig, M. K.</creatorcontrib><title>Lithotomy-related neurovascular complications in the lower limbs after colorectal surgery</title><title>Colorectal disease</title><addtitle>Colorectal Dis</addtitle><description>Aim  To review the literature on lithotomy‐related neurovascular complications (LRNVC) of the lower limbs after colorectal surgery. Method  Electronic databases were searched for relevant articles, including Medline, EMBASE, Pubmed, CENTRAL and CINHL. Results  LRNVC after prolonged lithotomy position during colorectal surgery can be classified into vascular, neurological and neurovascular combined. Compartment syndrome (CS) is the most common clinical presentation. Seven case reports and 10 case series on 34 patients (27 men, 6 women) with CS have been reported. Risk factors included the lithotomy position and duration of surgery of more than 4 h. 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S.</creatorcontrib><creatorcontrib>Shakir, A. J.</creatorcontrib><creatorcontrib>Khatri, K.</creatorcontrib><creatorcontrib>Baig, M. K.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sajid, M. S.</au><au>Shakir, A. J.</au><au>Khatri, K.</au><au>Baig, M. K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lithotomy-related neurovascular complications in the lower limbs after colorectal surgery</atitle><jtitle>Colorectal disease</jtitle><addtitle>Colorectal Dis</addtitle><date>2011-11</date><risdate>2011</risdate><volume>13</volume><issue>11</issue><spage>1203</spage><epage>1213</epage><pages>1203-1213</pages><issn>1462-8910</issn><eissn>1463-1318</eissn><abstract>Aim  To review the literature on lithotomy‐related neurovascular complications (LRNVC) of the lower limbs after colorectal surgery. Method  Electronic databases were searched for relevant articles, including Medline, EMBASE, Pubmed, CENTRAL and CINHL. Results  LRNVC after prolonged lithotomy position during colorectal surgery can be classified into vascular, neurological and neurovascular combined. Compartment syndrome (CS) is the most common clinical presentation. Seven case reports and 10 case series on 34 patients (27 men, 6 women) with CS have been reported. Risk factors included the lithotomy position and duration of surgery of more than 4 h. Conclusion  In colorectal surgery, lower limb LRNCVs, and CS are rare. A high index of clinical suspicion and early decompression may reduce morbidity.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20478008</pmid><doi>10.1111/j.1463-1318.2010.02314.x</doi><tpages>11</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Colon - surgery
colorectal surgery
compartment syndrome
Compartment Syndromes - diagnosis
Compartment Syndromes - etiology
Compartment Syndromes - prevention & control
Compartment Syndromes - therapy
fasciotomy
Humans
intracompartmental pressure
Lithotomy position
Lower Extremity
Nerve Compression Syndromes - diagnosis
Nerve Compression Syndromes - etiology
Patient Positioning - adverse effects
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Postoperative Complications - therapy
Rectum - surgery
title Lithotomy-related neurovascular complications in the lower limbs after colorectal surgery
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