Abstract

ROMERO, Frederico R. et al. Combined risk factors leading to well-leg compartment syndrome after laparoscopic radical prostatectomy. Actas Urol Esp [online]. 2009, vol.33, n.8, pp.920-924. ISSN 0210-4806.

Well leg compartment syndrome is rare after laparoscopic radical prostatectomy. We report a 68-year-old man that developed compartment syndrome after laparoscopic radical prostatectomy for prostate cancer. There are several circumstantial risk factors associated with LRP that, when combined, may potentially predispose to the development of compartment syndrome, including: obesity, evidence of peripheral vascular disease (advanced age, hypertension, hyperlipidemia, and diabetes mellitus), thromboembolism prophylaxis with compressive leg wraps together with intermittent pneumatic devices, combined general-spinal anesthesia, prolonged operative time in Trendelenburg position, and systemic hypotension due to intraoperative bleeding. The pathogenesis of this serious complication is discussed and preventive measures are highlighted.

Keywords : Compartment syndrome; Risk factors; Radical prostatectomy; Laparoscopy; Postoperative complications.

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