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

Bang, Hyun Chul; Kim, Jin Young; Song, Tae Hun; Yang, Hyun Sung; Lee, Chae Hyeong; Park, Hyun Soo; Park, Jin Woo; Yoon, Sang Ho

doi:2012.55.9.687

Obstet Gynecol Sci > Volume 55(9); 2012 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2012;55(9):687-691.
DOI: https://doi.org/10.5468/KJOG.2012.55.9.687 Published online September 17, 2012.

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

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

¹Department of Obstetrics and Gynecology, Dongguk University Ilsan Hospital, Goyang, Korea. yoonprou@dumc.or.kr
²Department of Rehabilitation Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.

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.

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