Cases reported "Compartment Syndromes"

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1/5. Abdominal compartment syndrome in gynecologic surgery.

    BACKGROUND: Abdominal compartment syndrome is a rare condition in which increased intra-abdominal pressure adversely affects perfusion and viability of the viscera, and the cardiovascular, respiratory, and renal systems. The syndrome follows acute abdominal events such as abdominal trauma, intraperitoneal hemorrhage, or intra-abdominal infection. CASES: Two women who had abdominal hysterectomies postoperatively developed clinical features of multisystem failure with markedly elevated intra-abdominal pressures. The women, one with intra-abdominal infection and diffuse intestinal edema and one with intra-abdominal hemorrhage, were diagnosed by clinical exam and intravesical pressure measurements. Both had follow-up exploration and temporary placement of the small bowel and colon into an intestinal bag until adequate resuscitation was achieved. CONCLUSION: Abdominal compartment syndrome is a rare complication in gynecology that can be diagnosed early and decompressed promptly.
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keywords = gynecologic
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2/5. A pitfall of protracted surgery in the lithotomy Position: lower extremity compartment syndrome.

    Although the lithotomy position is frequently used in urologic, gynecologic, and colorectal surgery, the potentially devastating complication of lower extremity compartment syndrome is not widely recognized. The authors report a 50-year-old woman who underwent 8 hours of colorectal surgery in the lithotomy position. After surgery she complained of bilateral calf pain and was noted to have episodes of ventricular tachycardia. After emergency dialysis for hyperkalemia, she required bilateral four-compartment calf fasciotomy. Prevention of compartment syndrome and its sequelae, when using the lithotomy position, requires minimizing the duration of time in lithotomy. If protracted surgery in lithotomy is necessary, the patient should be carefully monitored for compartment syndrome postoperatively. Urgent four-compartment fasciotomy is the treatment of choice if a compartment syndrome is clinically suspected.
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ranking = 0.25
keywords = gynecologic
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3/5. Bilateral compartment syndrome after a long gynecologic operation in the lithotomy position.

    Compartment syndrome occurred after a tubal anastomosis in a prolonged lithotomy position. This syndrome carries the risk of permanent neuromuscular and kidney damage. The pathophysiologic features of the syndrome are reviewed. Specific guidelines for the prevention and management of this syndrome in patients undergoing gynecologic procedures are presented.
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ranking = 1.25
keywords = gynecologic
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4/5. Compartment syndrome in the well leg resulting from fracture-table positioning.

    A variety of patient positioning options exist on modern fracture tables for use during intramedullary nailing procedures. With the advent of interlocking and reconstruction nailing, some of these procedures can be complicated and prolonged. The use of the hemilithotomy position for prolonged intramedullary nailing procedures can result in the development of a compartment syndrome in the uninjured leg, no matter what type of suspension device is used for that leg. The occurrence of this iatrogenic injury in the patient's well leg can be devastating in light of the contralateral fracture. Two patients at this institution have had such a condition in the past two years, and the authors have revised their positioning procedures. review of the surgical literature shows that this complication has been seen in urologic, gynecologic, and general surgical patients, but has not been widely reported in the orthopaedic population. Recommendations for avoiding this problem include the use of other positions or distraction devices when performing intramedullary nailings, or, when the hemilithotomy position cannot be avoided, early intraoperative repositioning of the leg when possible.
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ranking = 0.25
keywords = gynecologic
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5/5. Unilateral compartment syndrome after prolonged gynecologic surgery in the dorsal lithotomy position. A case report.

    We describe the onset of the compartment syndrome after gynecologic surgery in the dorsal lithotomy position for neovaginal reconstruction with a fasciocutaneous flap.
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ranking = 1.25
keywords = gynecologic
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