{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T14:38:34Z","timestamp":1777905514592,"version":"3.51.4"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2022,3,19]],"date-time":"2022-03-19T00:00:00Z","timestamp":1647648000000},"content-version":"vor","delay-in-days":199,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T00:00:00Z","timestamp":1631664000000},"content-version":"tdm","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Despite the extensive use of lithotomy position in several plastic surgery procedures, most reports regarding the related incidence of complications are presented in the urologic, gynecologic, and anesthesiologic fields. We present the case of a 54-year-old male patient. polytrauma patient who underwent internal iliac artery embolization leading to extensive gluteal necrosis requiring: debridement, abdominoperineal resection and composite anterolateral thigh flap reconstruction with prolonged lithotomy position. The patient presented lower limb ischemia briefly after surgical theater. A computed tomography scan revealed the obstruction of the left superficial femoral artery requiring emergency revascularization. Arterial thrombosis is a potentially devastating complication and plastic surgeons should be aware of the possible dangers when performing surgeries in prolonged lithotomy position. Preoperative detection of patients at high risks for developing complications should be performed in order to implement preventive measures and avoid potentially life-threatening sequelae.<\/jats:p>","DOI":"10.5999\/aps.2020.02397","type":"journal-article","created":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T02:05:35Z","timestamp":1631757935000},"page":"543-546","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Acute limb ischemia following perineal reconstruction in lithotomy position: take-home message for plastic surgeons"],"prefix":"10.1055","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2716-8607","authenticated-orcid":false,"given":"Gianluca","family":"Sapino","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, University Hospital of Lausanne (CHUV), University of Lausanne, Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8244-952X","authenticated-orcid":false,"given":"Sebastien","family":"Deglise","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University Hospital of Lausanne (CHUV), University of Lausanne, Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3524-0077","authenticated-orcid":false,"given":"Wassim","family":"Raffoul","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, University Hospital of Lausanne (CHUV), University of Lausanne, Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1431-4479","authenticated-orcid":false,"given":"Pietro G.","family":"di Summa","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, University Hospital of Lausanne (CHUV), University of Lausanne, Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,3,19]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"07","DOI":"10.1016\/j.ejogrb.2013.10.034","article-title":"Compartment syndrome after gynecologic operations: evidence from case reports and reviews","volume":"173","author":"EC Bauer","year":"2014","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/j.surge.2018.03.005","article-title":"A systematic review of mechanical thromboprophylaxis in the lithotomy position","volume":"16","author":"C Gelder","year":"2018","journal-title":"Surgeon"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1111\/j.1447-0756.2006.00458.x","article-title":"Severe leg compartment syndrome associated with dorsal lithotomy position during 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