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- M S Sajid, A J Shakir, K Khatri, and M K Baig.
- Department of Colorectal Surgery, Worthing Hospital, Worthing, West Sussex, UK. surgeon1wrh@hotmail.com
- Colorectal Dis. 2011 Nov 1; 13 (11): 1203-13.
AimTo review the literature on lithotomy-related neurovascular complications (LRNVC) of the lower limbs after colorectal surgery.MethodElectronic databases were searched for relevant articles, including Medline, EMBASE, Pubmed, CENTRAL and CINHL.ResultsLRNVC 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.ConclusionIn colorectal surgery, lower limb LRNCVs, and CS are rare. A high index of clinical suspicion and early decompression may reduce morbidity.© 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland.
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