CJA
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text (PDF)
Right arrow Submit a scholarly reply
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by TONDARE, A. S.
Right arrow Articles by DAVE, V. B.
Right arrow Search for Related Content
PubMed
Right arrow Articles by TONDARE, A. S.
Right arrow Articles by DAVE, V. B.

Canadian Journal of Anesthesia, Vol 30, 84-86, Copyright © 1983 by Canadian Anesthesiologists' Society

Femoral Neuropathy: A Complication of Lithotomy Position Under Spinal Anaesthesia

Report of Three Cases

A. S. TONDARE MD, DA, MBBS1, A. V. NADKARNI MD, DA, MBBS1, C. H. SATHE MD, DGO, MBBS1, and V. B. DAVE MS, DA, MBBS1

1 Departments of Anaesthesiology and Obstetrics and Gynaecology, Government Medical College and Hospital, Aurangabad, Maharashtra State, INDIA

Address for Correspondence: Dr. A.S. Tondare, D-7, Type-III Quarters, Behind Dean's Bungalow, Medical Campus, AURANGABAD: 431 001 (M.S.) INDIA.

Three patients developed solitary unilateral peripheral femoral neuropathy after vaginal hysterectomy. All were operated under subarachnoid analgesia in the lithotomy position. Straight rod leg supports with swing stirrups were used and the procedures lasted for two and one-half hours. The complication is thought due to the extreme abduction of thighs with external rotation at the hip causing ischaemia of the femoral nerve as it is kinked beneath the tough inguinal ligament. The prognosis was found to be excellent with complete recovery within eight to ten weeks. The complication is preventable by using lateral thigh supports limiting the degree of abduction.

Key Words: SURGERY • gynaecology, lithotomy position • COMPLICATIONS • femoral neuropathy






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1983 by the Canadian Anesthesiologists' Society.