Compartment Syndrome With Thrombosis of Common Iliac Artery After Gynecologic Surgery

Abstract

Arterial thrombosis is less common than deep vein thrombosis during gynecologic operations, but the lithotomy position may cause insufficient arterial circulation in both the pelvis and legs.

The Swollen Calf of Reperfusion Injury

“…Compartment syndrome secondary to thrombosis of the common iliac artery has been described after pelvic surgery performed in the "exaggerated lithotomy position." 11,12 Although providing good exposure for urethral and prostatic surgery, the exaggerated lithotomy position is associated with a low but definite risk of rhabdomyolysis, compartmental syndrome, neurapraxia, and acute renal failure. In the propósito, timely diagnosis of iliac artery thrombosis and restoration of the arterial blood flow prevented the development of compartment syndrome.…”

Acute limb ischemia due to iliac thrombosis following laparoscopic surgery for hiatal hernia: Report from a medical malpractice litigation

“…In 2008, Nakamura et al reported of ALI and compartment syndrome after gynaecological laparoscopic procedure, radical hysterectomy for endometrial cancer. The Authors attributed the ALI occurrence to a prolonged procedural time (lasting for 6 hours) in lithotomy position [ 8 ]. Yeon and collaborators, in 2017 described a really comparable case: external iliac artery thrombosis occurred after laparoscopic radical hysterectomy for cervical cancer, lasting more than 6 hours, and performed in lithotomy position [ 6 ].…”

Lower limb compartment syndrome by reperfusion injury after treatment of arterial thrombosis post-laparoscopic radical hysterectomy and pelvic lymph node dissection for cervical cancer

“…Some authors reported the cases of compartment syndrome in gynecologic operation. Nakamura et al [4] reported a case of compartment syndrome due to thrombus of left common iliac artery after prolonged gynecologic surgery with lithotomy position. Cohen and Hurt [5] also described a case of compartment syndrome in gynecologic operation with the intermittent pneumatic compressors of the patient's legs.…”

“…Cohen and Hurt [5] also described a case of compartment syndrome in gynecologic operation with the intermittent pneumatic compressors of the patient's legs. Table 1 showed some cases of compartment syndrome in gynecologic operation [45678]. However, compartment syndrome rarely occurs after gynecologic surgery.…”