Rhabdomyolyse et syndrome des loges des deux avant-bras lors d’une chirurgie robotique de longue durée
| Autor: | J. Amraoui, Caroline Boutin, S. Laporte, P. Deras, Jacques Ripart |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty business.industry medicine.medical_treatment Trendelenburg position General Medicine medicine.disease Surgery Dissection Anesthesiology and Pain Medicine Female patient Severe endometriosis Medicine Procedure Duration Robotic surgery business Rhabdomyolysis |
| Zdroj: | Annales Françaises d'Anesthésie et de Réanimation. 29:301-303 |
| ISSN: | 0750-7658 |
| DOI: | 10.1016/j.annfar.2010.01.018 |
| Popis: | Robotic assisted laparoscopic surgery allows for a more precise dissection than classical laparoscopic surgery. However, it sometimes imposes specific exaggerated postures and extralong procedure duration. Combining these two factors may increase the risk for postural complications in at-risk patients. We report the case of an obese 30-year-old female patient who underwent a 12-hour duration robotic laparoscopic surgery for severe endometriosis, in Trendelenburg position. This was complicated by a two forearms rhabdomyolysis, with subsequent compartment syndrome with multiple neuropathy. Physicians must be aware of the cumulative risk for postural complications when extreme positions are associated to long duration procedures in predisposed patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect