Document Detail

Two cases of epidural anesthesia-associated postoperative decubitus.
MedLine Citation:
PMID:  18840199     Owner:  NLM     Status:  MEDLINE    
Very few cases of postoperative decubitus have been reported. We report two cases of hip decubitus after myomectomy. Case 1 is a 32-year-old Japanese woman who underwent an uncomplicated myomectomy under the combination of general and epidural anesthesia. Twelve hours after surgery, a palpable soft tissue mass developed in the sacral region. On day 3, the soft tissue mass had disappeared and the patient was discharged on day 8. Case 2 is a 33-year-old woman. Under a combination of spinal and epidural anesthesia, a myomectomy was carried out. On day 1 after surgery, a hard mass with redness was detected. On day 8, decubitus improved and she was discharged. We evaluated the temporal changes in anesthetic level in four independent cases. Eighteen hours after surgery, the anesthetic effect still continued below the L2 level. We conclude that the extended effect of epidural anesthesia might be one of the mechanisms causing postoperative decubitus.
Eri Takahashi; Seiji Isonishi; Michiko Suzuki; Asako Ogura; Shiro Kunito; Masanori Hirama; Hirokazu Shoji; Kazuhiko Ochiai; Tadao Tanaka
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  34     ISSN:  1341-8076     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-10-08     Completed Date:  2009-01-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  763-6     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Jikei University Aoto Hospital, Tokyo, Japan.
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MeSH Terms
Anesthesia, Epidural / adverse effects*
Leiomyoma / surgery
Postoperative Complications / chemically induced*
Pressure Ulcer / etiology*
Uterine Neoplasms / surgery

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