Bilateral compartment syndrome of the lower limbs after urological surgery in the lithotomy position: a clinical case

Detalhes bibliográficos
Autor(a) principal: Reis,José Maciel Caldas dos
Data de Publicação: 2019
Outros Autores: Queiroz,Lauro José Mendes, Mello,Pablo Ferreira, Teixeira,Renan Kleber Costa, Gonçalves,Fábio de Azevedo
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Jornal Vascular Brasileiro (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492019000100608
Resumo: Abstract Acute compartment syndrome of the lower extremities after urological surgery in the lithotomy position is a rare but potentially devastating clinical and medicolegal problem. We report the case of a 67-year-old male who underwent laparoscopic prostatectomy surgery to treat cancer, spending 180 minutes in surgery. Postoperatively, the patient developed acute compartment syndrome of both legs, needing emergency bilateral four-compartment fasciotomies, with repeated returns to the operating room for second-look procedures. The patient also exhibited delayed wound closure. He regained full function within 6 months, returning to unimpaired baseline activity levels. This report aims to highlight the importance of preoperative awareness of this severe complication which, in conjunction with early recognition and immediate surgical management, may mitigate long-term adverse sequelae and improve postoperative outcomes.
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spelling Bilateral compartment syndrome of the lower limbs after urological surgery in the lithotomy position: a clinical casecompartment syndromesfasciotomypostoperative complicationsAbstract Acute compartment syndrome of the lower extremities after urological surgery in the lithotomy position is a rare but potentially devastating clinical and medicolegal problem. We report the case of a 67-year-old male who underwent laparoscopic prostatectomy surgery to treat cancer, spending 180 minutes in surgery. Postoperatively, the patient developed acute compartment syndrome of both legs, needing emergency bilateral four-compartment fasciotomies, with repeated returns to the operating room for second-look procedures. The patient also exhibited delayed wound closure. He regained full function within 6 months, returning to unimpaired baseline activity levels. This report aims to highlight the importance of preoperative awareness of this severe complication which, in conjunction with early recognition and immediate surgical management, may mitigate long-term adverse sequelae and improve postoperative outcomes.Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)2019-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492019000100608Jornal Vascular Brasileiro v.18 2019reponame:Jornal Vascular Brasileiro (Online)instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)instacron:SBACV10.1590/1677-5449.180117info:eu-repo/semantics/openAccessReis,José Maciel Caldas dosQueiroz,Lauro José MendesMello,Pablo FerreiraTeixeira,Renan Kleber CostaGonçalves,Fábio de Azevedoeng2019-04-22T00:00:00Zoai:scielo:S1677-54492019000100608Revistahttp://www.scielo.br/jvbhttps://old.scielo.br/oai/scielo-oai.php||secretaria@sbacv.org.br1677-73011677-5449opendoar:2019-04-22T00:00Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)false
dc.title.none.fl_str_mv Bilateral compartment syndrome of the lower limbs after urological surgery in the lithotomy position: a clinical case
title Bilateral compartment syndrome of the lower limbs after urological surgery in the lithotomy position: a clinical case
spellingShingle Bilateral compartment syndrome of the lower limbs after urological surgery in the lithotomy position: a clinical case
Reis,José Maciel Caldas dos
compartment syndromes
fasciotomy
postoperative complications
title_short Bilateral compartment syndrome of the lower limbs after urological surgery in the lithotomy position: a clinical case
title_full Bilateral compartment syndrome of the lower limbs after urological surgery in the lithotomy position: a clinical case
title_fullStr Bilateral compartment syndrome of the lower limbs after urological surgery in the lithotomy position: a clinical case
title_full_unstemmed Bilateral compartment syndrome of the lower limbs after urological surgery in the lithotomy position: a clinical case
title_sort Bilateral compartment syndrome of the lower limbs after urological surgery in the lithotomy position: a clinical case
author Reis,José Maciel Caldas dos
author_facet Reis,José Maciel Caldas dos
Queiroz,Lauro José Mendes
Mello,Pablo Ferreira
Teixeira,Renan Kleber Costa
Gonçalves,Fábio de Azevedo
author_role author
author2 Queiroz,Lauro José Mendes
Mello,Pablo Ferreira
Teixeira,Renan Kleber Costa
Gonçalves,Fábio de Azevedo
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Reis,José Maciel Caldas dos
Queiroz,Lauro José Mendes
Mello,Pablo Ferreira
Teixeira,Renan Kleber Costa
Gonçalves,Fábio de Azevedo
dc.subject.por.fl_str_mv compartment syndromes
fasciotomy
postoperative complications
topic compartment syndromes
fasciotomy
postoperative complications
description Abstract Acute compartment syndrome of the lower extremities after urological surgery in the lithotomy position is a rare but potentially devastating clinical and medicolegal problem. We report the case of a 67-year-old male who underwent laparoscopic prostatectomy surgery to treat cancer, spending 180 minutes in surgery. Postoperatively, the patient developed acute compartment syndrome of both legs, needing emergency bilateral four-compartment fasciotomies, with repeated returns to the operating room for second-look procedures. The patient also exhibited delayed wound closure. He regained full function within 6 months, returning to unimpaired baseline activity levels. This report aims to highlight the importance of preoperative awareness of this severe complication which, in conjunction with early recognition and immediate surgical management, may mitigate long-term adverse sequelae and improve postoperative outcomes.
publishDate 2019
dc.date.none.fl_str_mv 2019-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492019000100608
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492019000100608
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1677-5449.180117
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
publisher.none.fl_str_mv Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
dc.source.none.fl_str_mv Jornal Vascular Brasileiro v.18 2019
reponame:Jornal Vascular Brasileiro (Online)
instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
instacron:SBACV
instname_str Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
instacron_str SBACV
institution SBACV
reponame_str Jornal Vascular Brasileiro (Online)
collection Jornal Vascular Brasileiro (Online)
repository.name.fl_str_mv Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
repository.mail.fl_str_mv ||secretaria@sbacv.org.br
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