Objective The well-leg compartment syndrome is a rare but serious complication occurring in the perioperative period. This work sought to review the syndrome's pathophysiology, diagnosis, prevention, and treatment, as well as the role of transcutaneous near-infrared spectroscopy in this indication. Data sources The search for French and English articles, without any time limitations, was conducted via the Medline/Pubmed database using the following two keywords: "compartment syndrome" and "well-leg syndrome." Study selection All original articles, case reports, and letters were considered for their relevance. Data extraction Articles were analyzed for their relevance pertaining to the perioperative period. Data synthesis The well-leg compartment syndrome is a rare but serious complication occurring in the perioperative period. This syndrome is mainly associated with procedures of long duration or with those conducted in lithotomy position. Transcutaneous near-infrared spectroscopy, and particularly in vivo optical spectroscopy (INVOS), provides non-invasive continuous monitoring of regional oxygen saturation. This allows continuous measurements to be taken to assess ischemia duration. With an analysis depth of 1.5 to 3cm, INVOS is able to fully assess the anterior leg compartment, the most at risk of developing the compartment syndrome along with the deep posterior compartment. Conclusion INVOS could be a useful tool for preventing the well-leg compartment syndrome or for detection it at an early stage.
|Number of pages||7|
|Early online date||31 Dec 2012|
|Publication status||Published - 2014|
Lois, F., Forget, P., Léonard, D., Ponchon, F., Vanhoonacker, M., Von Montigny, S., Remue, C., Kartheuser, A., & De Kock, M. (2014). Development of a perioperative compartment syndrome: Can transcutaneous near-infrared spectroscopy be a preventive or early diagnostic tool? Louvain Medical, 133(4), 189-195.