Acute limb ischemia following perineal reconstruction in lithotomy position: take-home message for plastic surgeons.
Fiche du document
- doi: 10.5999/aps.2020.02397
- issn: 2234-6163
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/doi/10.5999/aps.2020.02397
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/pmid/34583442
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/pissn/2234-6163
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_54E0403D76CD6
info:eu-repo/semantics/openAccess , CC BY-NC 4.0 , https://creativecommons.org/licenses/by-nc/4.0/
Sujets proches
IschaemiaCiter ce document
G. Sapino et al., « Acute limb ischemia following perineal reconstruction in lithotomy position: take-home message for plastic surgeons. », Serveur académique Lausannois, ID : 10.5999/aps.2020.02397
Métriques
Partage / Export
Résumé
Despite the extensive use of lithotomy position in several plastic surgery procedures, most reports regarding the related incidence of complications are presented in the urologic, gynecologic, and anesthesiologic fields. We present the case of a 54-year-old male patient. polytrauma patient who underwent internal iliac artery embolization leading to extensive gluteal necrosis requiring: debridement, abdominoperineal resection and composite anterolateral thigh flap reconstruction with prolonged lithotomy position. The patient presented lower limb ischemia briefly after surgical theater. A computed tomography scan revealed the obstruction of the left superficial femoral artery requiring emergency revascularization. Arterial thrombosis is a potentially devastating complication and plastic surgeons should be aware of the possible dangers when performing surgeries in prolonged lithotomy position. Preoperative detection of patients at high risks for developing complications should be performed in order to implement preventive measures and avoid potentially life-threatening sequelae.