Title: Lower limb compartment syndrome as a complication of laparoscopic laser surgery for severe endometriosis
Authors: Tomassetti, Carla ×
Meuleman, Christel
Vanacker, Bernard
D'Hooghe, Thomas #
Issue Date: Oct-2009
Publisher: American Society for Reproductive Medicine
Series Title: Fertility and Sterility vol:92 issue:6 pages:238.e9-12
Abstract: OBJECTIVE: To report a case of lower limb compartment syndrome (LLCS) during long duration laparoscopic interventions for resection of extensive endometriosis, and evaluate the efficiency of a novel patient positioning method to reduce its prevalence. DESIGN: Case report and observational study. SETTING: University Hospitals, Belgium. PATIENT(S): Thirty-year-old woman undergoing a long duration laparoscopic intervention for resection of stage IV pelvic endometriosis. INTERVENTION(S): Laparoscopic intervention for resection of stage IV pelvic endometriosis. MAIN OUTCOME MEASURE(S): The occurrence of LLCS after laparoscopic surgery for extensive endometriosis, in this case, and the prevention of subsequent LLCS after the application of a novel patient positioning method including the following steps: maximal avoidance of the lithotomy position, patient positioning in a modified supine position, mobilization of the legs of the patient in between different surgical phases, and application of intermittent compression stockings. RESULT(S): The prevalence of lower limb compartment syndrome has been reduced to 0 since the application of the new patient positioning method. CONCLUSION(S): Lower limb compartment syndrome can be prevented in patients undergoing long duration multidisciplinary laparoscopic resection of extensive endometriosis by a novel sequential positioning method of patients before and during surgery.
ISSN: 0015-0282
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Anesthesiology and Algology
Department of Development and Regeneration - miscellaneous (+)
Embryo and Stemcells (-)
× corresponding author
# (joint) last author

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