"

Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 6 Issue 12

Bilateral Well-Leg Compartment Syndrome (WLCS) after Urological Procedure: A Case Report

Ehab Farhan, Khalid Almazmi and Saif Aldhuhoori*

Department of Orthopedic Surgery, Zayed Military Hospital, UAE

*Corresponding Author: Saif Aldhuhoori, Department of Orthopedic Surgery, Zayed Military Hospital, UAE.

Received: November 06, 2023; Published: November 27, 2023

Abstract

Well Leg Compartment Syndrome (WLCS) describes the development of acute lower limb compartment syndrome in an uninjured limb, which may occur without pre-existing vascular disease. This was initially observed after the patients were placed in a lithotomy position for surgical procedures. The authors experienced a case of bilateral well leg compartment syndrome that occurred after a urological procedure in lithotomy position. The patient was treated with bilateral leg fasciotomy and decompression of the common peroneal nerve.

Keywords: Well Leg Compartment Syndrome; Lithotomy Position; Reperfusion Injury; Fasciotomy

References

  1. Richard G Leff and Stephen R Shapiro. “Lower Extremity Complications of the Lithotomy Position: Prevention and Management”. The Journal of Urology1 (1979): 138-139.
  2. Gill M., et al. “Association of Coloproctology of Great Britain and Ireland, the Vascular Society of Great Britain and Ireland, the British Orthopaedic Association and the British Association of Urological Surgeons. Avoiding, diagnosing and treating well leg compartment syndrome after pelvic surgery”. British Journal of Surgery 9 (2019): 1156-1166.
  3. Leff RG and Shapiro SR. “Lower extremity complications of the lithotomy position: prevention and management”. Journal of Urology 1 (1979): 138-139.
  4. Ntontis Z., et al. “Well leg compartment syndrome due to the lithotomy position in orthopedic surgery: a report of two cases and a review of the literature”. Journal of Surgical Case Reports 11 (2022): rjac522.
  5. Hara K., et al. “Prevention of well-leg compartment syndrome following lengthy medical operations in the lithotomy position”. Surgery Open Science 3 (2020): 16-21.
  6. Gill M., et al. “Association of Coloproctology of Great Britain and Ireland, the Vascular Society of Great Britain and Ireland, the British Orthopaedic Association and the British Association of Urological Surgeons. Avoiding, diagnosing and treating well leg compartment syndrome after pelvic surgery”. British Journal of Surgery 106.9 (2019): 1156-1166.
  7. Simms MS and Terry TR. “Well leg compartment syndrome after pelvic and perineal surgery in the lithotomy position”. Postgraduate Medical Journal 81 (2005): 534-536.
  8. Bauer EC., et al. “Compartment syndrome after gynecologic operations: evidence from case reports and reviews”. The European Journal of Obstetrics and Gynecology and Reproductive Biology 173 (2014): 7-12.
  9. Osborn Patrick M., et al. “Diagnosis and Management of Acute Compartment Syndrome”. Journal of the American Academy of Orthopaedic Surgeons 5 (2021): 183-188.
  10. Von Keudell AG., et al. “Diagnosis and treatment of acute extremity compartment syndrome”. Lancet 10000 (2015): 1299-1310.
  11. Osborn CPM and Schmidt AH. “Management of Acute Compartment Syndrome”. Journal of the American Academy of Orthopaedic Surgeons 3 (2020): e108-e114.
  12. Kragh JF Jr., et al. “Compartment syndrome performance improvement project is associated with increased combat casualty survival”. Journal of Trauma and Acute Care Surgery 1 (2013): 259-263.
  13. Osborn PM and Schmidt AH. “Diagnosis and Management of Acute Compartment Syndrome”. Journal of the American Academy of Orthopaedic Surgeons 5 (2021): 183-188.

Citation

Citation: Saif Aldhuhoori., et al. “Bilateral Well-Leg Compartment Syndrome (WLCS) after Urological Procedure: A Case Report".Acta Scientific Orthopaedics 6.12 (2023): 70-73.

Copyright

Copyright: © 2023 Saif Aldhuhoori., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is November 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US