The Experts below are selected from a list of 10572 Experts worldwide ranked by ideXlab platform
J H Anderson - One of the best experts on this subject based on the ideXlab platform.
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a systematic review of mechanical thromboprophylaxis in the Lithotomy position
Surgeon-journal of The Royal Colleges of Surgeons of Edinburgh and Ireland, 2018Co-Authors: Chloe Gelder, Audrey L Mccallum, Alan J R Macfarlane, J H AndersonAbstract:Abstract Background Venous thrombosis and compartment syndrome are potentially serious complications of prolonged, Lithotomy position surgery. It is unclear whether mechanical thromboprophylaxis in this group of patients modifies the risk of compartment syndrome. This qualitative systematic review examines the evidence base to guide clinical practice. Method A systematic review was performed guided by Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) criteria, to identify studies reporting relationships between Lithotomy position, compartment syndrome and mechanical thromboprophylaxis. The aim was to determine if mechanical thromboprophylaxis influenced compartment syndrome risk in the Lithotomy position. Results Sixteen studies were identified: eight case reports or case series (12 patients), two completed audit cycles (approximately 2000 patients), four reviews and two volunteer case control studies (33 subjects). There were no randomised studies. Nine studies associated mechanical thromboprophylaxis with compartment syndrome risk but in each case a causative relationship was speculative. In contrast, five papers, including an experimental, cohort study and two observational, population studies recommended intermittent pneumatic compression as prevention against compartment syndrome in Lithotomy position. One review and one case report were unable to make a recommendation. Conclusions The level of evidence addressing the interaction between the Lithotomy position, compartment syndrome and mechanical thromboprophylaxis is weak. There is no conclusive evidence that mechanical thromboprophylaxis causes compartment syndrome in the Lithotomy position. There is limited evidence to suggest intermittent pneumatic compression may be a safe method of mechanical thromboprophylaxis if accompanied by strict adherence to other measures to reduce the chance of compartment syndrome. However further studies are required.
Chloe Gelder - One of the best experts on this subject based on the ideXlab platform.
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a systematic review of mechanical thromboprophylaxis in the Lithotomy position
Surgeon-journal of The Royal Colleges of Surgeons of Edinburgh and Ireland, 2018Co-Authors: Chloe Gelder, Audrey L Mccallum, Alan J R Macfarlane, J H AndersonAbstract:Abstract Background Venous thrombosis and compartment syndrome are potentially serious complications of prolonged, Lithotomy position surgery. It is unclear whether mechanical thromboprophylaxis in this group of patients modifies the risk of compartment syndrome. This qualitative systematic review examines the evidence base to guide clinical practice. Method A systematic review was performed guided by Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) criteria, to identify studies reporting relationships between Lithotomy position, compartment syndrome and mechanical thromboprophylaxis. The aim was to determine if mechanical thromboprophylaxis influenced compartment syndrome risk in the Lithotomy position. Results Sixteen studies were identified: eight case reports or case series (12 patients), two completed audit cycles (approximately 2000 patients), four reviews and two volunteer case control studies (33 subjects). There were no randomised studies. Nine studies associated mechanical thromboprophylaxis with compartment syndrome risk but in each case a causative relationship was speculative. In contrast, five papers, including an experimental, cohort study and two observational, population studies recommended intermittent pneumatic compression as prevention against compartment syndrome in Lithotomy position. One review and one case report were unable to make a recommendation. Conclusions The level of evidence addressing the interaction between the Lithotomy position, compartment syndrome and mechanical thromboprophylaxis is weak. There is no conclusive evidence that mechanical thromboprophylaxis causes compartment syndrome in the Lithotomy position. There is limited evidence to suggest intermittent pneumatic compression may be a safe method of mechanical thromboprophylaxis if accompanied by strict adherence to other measures to reduce the chance of compartment syndrome. However further studies are required.
Hunter Wessells - One of the best experts on this subject based on the ideXlab platform.
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COMPLICATIONS RELATED TO THE HIGH Lithotomy POSITION DURING URETHRAL RECONSTRUCTION
The Journal of Urology, 2000Co-Authors: John G. Anema, Allen F. Morey, Jack W. Mcaninch, Layla A. Mario, Hunter WessellsAbstract:Purpose: We identified risk factors for complications of the lower extremities related to high Lithotomy positioning during specific urethral reconstruction procedures in male patients.Materials and Methods: Records from 185 open urethroplasties were evaluated for position related complications of the lower extremities (the compartmental syndrome, rhabdomyolysis, neurapraxia). Morphometric data (patient height, weight) and surgical details (duration of surgery and Lithotomy positioning, types of repair and stirrups, stricture length and location) were assessed.Results: In the 185 patients 18 position related complications (10%) were identified, 4 of which were severe. Univariate analysis showed length of stricture, and duration of surgery and Lithotomy positioning to be statistically significant risk factors (p
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complications related to the high Lithotomy position during urethral reconstruction
The Journal of Urology, 2000Co-Authors: John G. Anema, Allen F. Morey, Jack W. Mcaninch, Layla A. Mario, Hunter WessellsAbstract:Purpose: We identified risk factors for complications of the lower extremities related to high Lithotomy positioning during specific urethral reconstruction procedures in male patients.Materials and Methods: Records from 185 open urethroplasties were evaluated for position related complications of the lower extremities (the compartmental syndrome, rhabdomyolysis, neurapraxia). Morphometric data (patient height, weight) and surgical details (duration of surgery and Lithotomy positioning, types of repair and stirrups, stricture length and location) were assessed.Results: In the 185 patients 18 position related complications (10%) were identified, 4 of which were severe. Univariate analysis showed length of stricture, and duration of surgery and Lithotomy positioning to be statistically significant risk factors (p <0.05). Height, weight, body mass index and type of stirrups did not increase risk. Anterior end-to-end anastomosis and straightforward buccal mucosa patch grafts entailed negligible risk. Longer p...
Alan J R Macfarlane - One of the best experts on this subject based on the ideXlab platform.
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a systematic review of mechanical thromboprophylaxis in the Lithotomy position
Surgeon-journal of The Royal Colleges of Surgeons of Edinburgh and Ireland, 2018Co-Authors: Chloe Gelder, Audrey L Mccallum, Alan J R Macfarlane, J H AndersonAbstract:Abstract Background Venous thrombosis and compartment syndrome are potentially serious complications of prolonged, Lithotomy position surgery. It is unclear whether mechanical thromboprophylaxis in this group of patients modifies the risk of compartment syndrome. This qualitative systematic review examines the evidence base to guide clinical practice. Method A systematic review was performed guided by Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) criteria, to identify studies reporting relationships between Lithotomy position, compartment syndrome and mechanical thromboprophylaxis. The aim was to determine if mechanical thromboprophylaxis influenced compartment syndrome risk in the Lithotomy position. Results Sixteen studies were identified: eight case reports or case series (12 patients), two completed audit cycles (approximately 2000 patients), four reviews and two volunteer case control studies (33 subjects). There were no randomised studies. Nine studies associated mechanical thromboprophylaxis with compartment syndrome risk but in each case a causative relationship was speculative. In contrast, five papers, including an experimental, cohort study and two observational, population studies recommended intermittent pneumatic compression as prevention against compartment syndrome in Lithotomy position. One review and one case report were unable to make a recommendation. Conclusions The level of evidence addressing the interaction between the Lithotomy position, compartment syndrome and mechanical thromboprophylaxis is weak. There is no conclusive evidence that mechanical thromboprophylaxis causes compartment syndrome in the Lithotomy position. There is limited evidence to suggest intermittent pneumatic compression may be a safe method of mechanical thromboprophylaxis if accompanied by strict adherence to other measures to reduce the chance of compartment syndrome. However further studies are required.
Audrey L Mccallum - One of the best experts on this subject based on the ideXlab platform.
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a systematic review of mechanical thromboprophylaxis in the Lithotomy position
Surgeon-journal of The Royal Colleges of Surgeons of Edinburgh and Ireland, 2018Co-Authors: Chloe Gelder, Audrey L Mccallum, Alan J R Macfarlane, J H AndersonAbstract:Abstract Background Venous thrombosis and compartment syndrome are potentially serious complications of prolonged, Lithotomy position surgery. It is unclear whether mechanical thromboprophylaxis in this group of patients modifies the risk of compartment syndrome. This qualitative systematic review examines the evidence base to guide clinical practice. Method A systematic review was performed guided by Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) criteria, to identify studies reporting relationships between Lithotomy position, compartment syndrome and mechanical thromboprophylaxis. The aim was to determine if mechanical thromboprophylaxis influenced compartment syndrome risk in the Lithotomy position. Results Sixteen studies were identified: eight case reports or case series (12 patients), two completed audit cycles (approximately 2000 patients), four reviews and two volunteer case control studies (33 subjects). There were no randomised studies. Nine studies associated mechanical thromboprophylaxis with compartment syndrome risk but in each case a causative relationship was speculative. In contrast, five papers, including an experimental, cohort study and two observational, population studies recommended intermittent pneumatic compression as prevention against compartment syndrome in Lithotomy position. One review and one case report were unable to make a recommendation. Conclusions The level of evidence addressing the interaction between the Lithotomy position, compartment syndrome and mechanical thromboprophylaxis is weak. There is no conclusive evidence that mechanical thromboprophylaxis causes compartment syndrome in the Lithotomy position. There is limited evidence to suggest intermittent pneumatic compression may be a safe method of mechanical thromboprophylaxis if accompanied by strict adherence to other measures to reduce the chance of compartment syndrome. However further studies are required.