Lower limb compartment syndrome subsequent to surgery in the lithotomy position
Krarup, P.-M.; Rawashdeh, Y.F.
Ugeskrift for Laeger 170(18): 1539-1543
2008
ISSN/ISBN: 1603-6824 PMID: 18454922 Document Number: 620163
Lower limb compartment syndrome after prolonged surgery in the lithotomy position is a rare but devastating complication which is termed well leg compartment syndrome (WLCS). The pathogenesis comprises increase in intracompartmental pressure and hypoperfusion, resulting in ischemia and necrosis. By reviewing the PubMed database we found 38 case reports with a total of 58 patients who developed WLCS. Every surgeon should know WLCS as early diagnosis and treatment is essential to avoid severe permanent disability.