Head-down tilt lithotomy position and well-leg compartment syndrome: An international survey of current practice.

Journal: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
Published Date: Jun 1, 2025

Abstract

AIM: Well-leg compartment syndrome (WLCS) is a serious complication of prolonged surgery in the head-down tilt lithotomy (HDTL) position associated with increased postoperative morbidity and mortality. However, there is a lack of awareness and clinical guidance regarding prevention of WLCS. The aim of this study was to assess current HDTL-related practices and occurrence of WLCS among a global cohort of clinicians.

Authors

  • Chukwuemeka C Uzoma
    Clinical Health and Rehabilitation Team, School of Psychology, Sport and Health Sciences, University of Portsmouth, Portsmouth, UK.
  • Anthony I Shepherd
    Clinical Health and Rehabilitation Team, School of Psychology, Sport and Health Sciences, University of Portsmouth, Portsmouth, UK.
  • Zoe L Saynor
    School of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.
  • Jim S Khan
    Department of Colorectal Surgery, Portsmouth Hospitals University, NHS Trust, Portsmouth, UK. jim.khan@porthosp.nhs.uk.
  • Guglielmo Niccolo Piozzi
    Division of Colon and Rectal Surgery, Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
  • Rauand Duhoky
    Department of Colorectal Surgery, Portsmouth Hospitals University NHS Trust, Portsmouth, UK.
  • Christopher Askew
    VasoActive Research Group, School of Health, University of the Sunshine Coast, Sunshine Coast, Queensland, Australia.
  • M Mahir Ozmen
    Mahir Ozmen Clinic (MOC), Ankara, Turkey.
  • Thierry R F Middleton
    Clinical Health and Rehabilitation Team, School of Psychology, Sport and Health Sciences, University of Portsmouth, Portsmouth, UK.
  • Shamsul Masum
    School of Electrical and Mechanical Engineering, University of Portsmouth, Portsmouth, UK.
  • Maria Perissiou
    Clinical Health and Rehabilitation Team, School of Psychology, Sport and Health Sciences, University of Portsmouth, Portsmouth, UK.

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