title: Lower extremity compartment syndrome after laparoscopic radical hysterectomy: brief report of an unusual complication of laparoscopic positioning requirements.
abstract: Compartment syndrome of the lower extremities is a clinically and medicolegally potentially devastating complication. Recently, the more widespread use of advanced laparoscopic surgical techniques, dealing with complex gynecologic diseases, including gynecologic malignancies and severe endometriosis, has led to an increasing number of laparoscopic surgeries of long duration (> 4 hours). With only very few case reports published in the gynecologic literature, increased attention is warranted with regard to this clinically insidious complication. We present a case report and review of the existing literature and discuss the main clinical features as well as preventive and therapeutic options.
authors.affiliation: Tübingen University Women's Hospital, Tübingen University, Department of Surgery, Tübingen, Germany.
authors.forename: Barbara
authors.initials: B
authors.lastname: Lawrenz
authors.forename: Bernhard
authors.initials: B
authors.lastname: Kraemer
authors.forename: Diethelm
authors.initials: D
authors.lastname: Wallwiener
authors.forename: Maria
authors.initials: M
authors.lastname: Witte
authors.forename: Tanja
authors.initials: T
authors.lastname: Fehm
authors.forename: Sven
authors.initials: S
authors.lastname: Becker
mesh_terms: D000328:Adult; D003161:Compartment Syndromes / Q000209:etiology*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods*; D010535:Laparoscopy / Q000009:adverse effects*; D035002:Lower Extremity; D056888:Patient Positioning / Q000009:adverse effects*