title: Lower limb compartment syndrome as a complication of laparoscopic laser surgery for severe endometriosis.
abstract: OBJECTIVE
  To report a case of lower limb compartment syndrome (LLCS) during long duration laparoscopic interventions for resection of extensive endometriosis, and evaluate the efficiency of a novel patient positioning method to reduce its prevalence.
  
  
  METHODS
  Case report and observational study.
  
  
  METHODS
  University Hospitals, Belgium.
  
  
  METHODS
  Thirty-year-old woman undergoing a long duration laparoscopic intervention for resection of stage IV pelvic endometriosis.
  
  
  METHODS
  Laparoscopic intervention for resection of stage IV pelvic endometriosis.
  
  
  METHODS
  The occurrence of LLCS after laparoscopic surgery for extensive endometriosis, in this case, and the prevention of subsequent LLCS after the application of a novel patient positioning method including the following steps: maximal avoidance of the lithotomy position, patient positioning in a modified supine position, mobilization of the legs of the patient in between different surgical phases, and application of intermittent compression stockings.
  
  
  RESULTS
  The prevalence of lower limb compartment syndrome has been reduced to 0 since the application of the new patient positioning method.
  
  
  CONCLUSIONS
  Lower limb compartment syndrome can be prevented in patients undergoing long duration multidisciplinary laparoscopic resection of extensive endometriosis by a novel sequential positioning method of patients before and during surgery.
authors.affiliation: Department of Obstetrics and Gynaecology, Leuven University Fertility Centre, University Hospitals Leuven, Leuven, Belgium.
authors.forename: Carla
authors.initials: C
authors.lastname: Tomassetti
authors.forename: Christel
authors.initials: C
authors.lastname: Meuleman
authors.forename: Bernard
authors.initials: B
authors.lastname: Vanacker
authors.forename: Thomas
authors.initials: T
authors.lastname: D'Hooghe
mesh_terms: D000328:Adult; D003161:Compartment Syndromes / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control*; D004715:Endometriosis / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods / Q000706:statistics & numerical data; D053685:Laser Therapy / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D007866:Leg; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control*; D011187:Posture; D017410:Practice Guidelines as Topic; D015995:Prevalence; D012720:Severity of Illness Index; D053828:Stockings, Compression