Conclusions: Apart from detailed history and examination during preoperative evaluation, one must be careful while positioning the patient in lithotomy for any surgery.
#LITHOTOMY POSITION FULL#
Both patients symptomatically improved and regained full strength and reflexes in both the lower limbs over a period of 3 months. They were managed conservatively with the use of lumbosacral belt and spinal extension exercises. Contrast MRI of the lumbosacral spine showed disc protrusion at the L5-S1 level in both cases. On the fifth and third postoperative day, they complained of low backache, pain radiating to the lateral aspect of both the lower limbs, and weakness in both lower limbs. The procedures lasted for 90 and 100 minutes, respectively, and were uneventful. There were no other comorbidities and both were found to be absolutely fit in the preanesthesia assessment before surgery. Cases: A 35-year-old P2+0 with third-degree cervical elongation underwent Fothergill operation, and a 52-year-old postmenopausal woman with third-degree uterovaginal prolapse underwent Ward Mayo's hysterectomy, both under spinal anesthesia. In this study, we report two rare cases of acute lumbar intervertebral disc prolapse following surgery for uterovaginal prolapse. These injuries include aseptic necrosis of femur head, ligamentous relaxation of the back, peroneal nerve injury, tibial nerve injury, vessel compression, compartment syndrome, compression ulcers, and disc prolapse.
Neurovascular injuries described with the lithotomy position depend on the degree of lithotomy, type of surgery, and duration of surgery. Background: Lithotomy is a common position in various gynecologic, urologic, orthopedic, colorectal, and pediatric surgeries.
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