Journal List > Korean J Obstet Gynecol > v.55(9) > 1088519

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Bang, Kim, Song, Yang, Lee, Park, Park, and Yoon: Five cases of neurologic complication in a boot support leg holder during laparoscopic surgery
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(9): 687-691.

Published online: 17 September 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.9.687

Five cases of neurologic complication in a boot support leg holder during laparoscopic surgery

Hyun Chul Bang, MD1, Jin Young Kim, MD1, Tae Hun Song, MD1, Hyun Sung Yang, MD1, Chae Hyeong Lee, MD, PhD1, Hyun Soo Park, MD1, Jin-Woo Park, MD, PhD2, Sang Ho Yoon, MD, PhD1

1Department of Obstetrics and Gynecology, Dongguk University Ilsan Hospital, Goyang, Korea.

2Department of Rehabilitation Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.

Corresponding author: Sang Ho Yoon, MD, PhD. Department of Obstetrics and Gynecology, Dongguk University Ilsan Hospital, 27 Dongguk-ro, Ilsandong-gu, Goyang 410-773, Korea. Tel: +82-31-961-7368, Fax: +82-31-961-7155, yoonprou@dumc.or.kr

Received 26 March 2012       Revised 1 June 2012       Accepted 19 June 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Lithotomy position has often been used in gynecologic surgeries. Nerve injury of lower extremities may be rare but can happen anytime during the surgeries. The pathogenesis of neurologic complications is not clear, but most of the neurologic complications are known to occur due to improper posture during surgery. Minor nerve injuries can recovered spontaneously, but severe injuries can cause slow recovery or permanent damage. The usage of generic knee support may cause compression to the nerves and increases the risk of hypoperfusion and difficulty in the change of posture during surgery, so in our hospital we have used a boot support leg holder during the surgery. Nevertheless, we experienced five cases of neurologic complication during a lithotomy position with usage of a boot support leg holder. Therefore we report these cases with review of literature.

Keywords: Lithotomy position, Generic knee support, Boot support leg holder, Neurologic complication

Figures and Tables

Fig. 1
The Allen stirrup system, which supports the calf in a boot-like device.
kjog-55-687-g001

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