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Major urologic surgery and rhabdomyolysis in two obese patients
Author(s) -
İŞER İ CÜNEYT,
ŞENKUL TEMUÇİN,
REDDY PRATAP K
Publication year - 2003
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1046/j.1442-2042.2003.00673.x
Subject(s) - rhabdomyolysis , medicine , lithotomy position , surgery , muscle damage , pathology , alternative medicine
Urologic surgery performed in the lithotomy position sometimes results in the serious complications of rhabdomyolysis and acute renal failure. Patients in which this occurs are almost always found to have compartmental syndromes. The two patients we present herein did not show any sign of a compartmental syndrome, but both were obese and underwent surgery for more than 6 h. The possible mechanism of rhabdomyolysis without compartmental syndrome (without local signs and symptoms of muscle damage) is discussed, and rhabdomyolysis and urologic surgery are reviewed.