If left untreated, patients with acute compartment syndrome can develop muscle contracture, sensory deficits, paralysis, possible need for limb amputation, and potentially multi-system organ failure secondary to crush syndrome 3). Acute compartmental syndrome: Lower extremity acute compartment syndrome is a pathologic condition in which increased tissue pressure within a closed osseofascial space compromises blood circulation and normal function of tissues within the compartment leading to tissue hypoxia and necrosis 2).Variations of lithotomy positionsįigure 2. When placing the legs in stirrups or taking them out of stirrups, both legs should be elevated and flexed at the hip simultaneously to prevent hip dislocation or postoperative back and hip pain.įigure 1. The use of stirrups may be combined with lateral pelvic tilting and a semi‐recumbent posture with the mother sitting up at about 45 degrees, to reduce aortocaval compression. The lithotomy position with the woman’s legs fixed in stirrups is used in many institutions both for spontaneous and particularly for assisted vaginal deliveries 1). There is a high risk of neurological and vascular complications. The higher the legs the greater the gradient for perfusion of the feet. And the legs can be in a low, high or exaggerated position. The legs can be placed in straps, stirrups, or suspended in boots. Lithotomy position involves the woman lying on her back with her legs apart supported by stirrups so the knees and hips flexed anywhere from 80-100 degrees, the lower legs parallel to the body. Lithotomy position is used in childbirth, gynecological examinations and gynecological, rectal, and urologic surgeries.
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