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 |
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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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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.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/j.1463-1318.2010.02314.x</identifier><identifier>PMID: 20478008</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>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</subject><ispartof>Colorectal disease, 2011-11, Vol.13 (11), p.1203-1213</ispartof><rights>2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland</rights><rights>2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4244-eea404025e8190268271c6e653f4888fd84cbe36092b93a953287af1e7537cd53</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1463-1318.2010.02314.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1463-1318.2010.02314.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20478008$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sajid, M. S.</creatorcontrib><creatorcontrib>Shakir, A. 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.
Conclusion In colorectal surgery, lower limb LRNCVs, and CS are rare. A high index of clinical suspicion and early decompression may reduce morbidity.</description><subject>Colon - surgery</subject><subject>colorectal surgery</subject><subject>compartment syndrome</subject><subject>Compartment Syndromes - diagnosis</subject><subject>Compartment Syndromes - etiology</subject><subject>Compartment Syndromes - prevention & control</subject><subject>Compartment Syndromes - therapy</subject><subject>fasciotomy</subject><subject>Humans</subject><subject>intracompartmental pressure</subject><subject>Lithotomy position</subject><subject>Lower Extremity</subject><subject>Nerve Compression Syndromes - diagnosis</subject><subject>Nerve Compression Syndromes - etiology</subject><subject>Patient Positioning - adverse effects</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - prevention & control</subject><subject>Postoperative Complications - therapy</subject><subject>Rectum - surgery</subject><issn>1462-8910</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kMtOGzEUQK2qqDzaX6i862qCXzP2bCq1oQSkiCwARe3Gcpw7xaknTm0PJH_PTALxxlf3Hp3FQQhTMqL9u1yNqKh4QTlVI0b6LWGcitH2Azo7Hj7uZ1aompJTdJ7SihBaSao-oVNGhFSEqDP0e-ryU8ih3RURvMmwxGvoYng2yXbeRGxDu_HOmuzCOmG3xvkJsA8vELF37SJh02QYMB8i2Gw8Tl38C3H3GZ00xif48vZfoMfrXw_jm2I6m9yOf0wLK5gQBYARRBBWgqI1YZViktoKqpI3QinVLJWwC-AVqdmi5qYuOVPSNBRkyaVdlvwCfTt4NzH87yBl3bpkwXuzhtAlreq9WNY9-fWN7BYtLPUmutbEnX6v0QPfD8CL87A73inRQ3W90kNcPcTVQ3W9r663ejy7uh3GXlAcBC5l2B4FJv7TleSy1PO7iaZq8mc8_3mvr_grA6mFOA</recordid><startdate>201111</startdate><enddate>201111</enddate><creator>Sajid, M. S.</creator><creator>Shakir, A. J.</creator><creator>Khatri, K.</creator><creator>Baig, M. K.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201111</creationdate><title>Lithotomy-related neurovascular complications in the lower limbs after colorectal surgery</title><author>Sajid, M. S. ; Shakir, A. J. ; Khatri, K. ; Baig, M. K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4244-eea404025e8190268271c6e653f4888fd84cbe36092b93a953287af1e7537cd53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Colon - surgery</topic><topic>colorectal surgery</topic><topic>compartment syndrome</topic><topic>Compartment Syndromes - diagnosis</topic><topic>Compartment Syndromes - etiology</topic><topic>Compartment Syndromes - prevention & control</topic><topic>Compartment Syndromes - therapy</topic><topic>fasciotomy</topic><topic>Humans</topic><topic>intracompartmental pressure</topic><topic>Lithotomy position</topic><topic>Lower Extremity</topic><topic>Nerve Compression Syndromes - diagnosis</topic><topic>Nerve Compression Syndromes - etiology</topic><topic>Patient Positioning - adverse effects</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - prevention & control</topic><topic>Postoperative Complications - therapy</topic><topic>Rectum - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sajid, M. 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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