2005
DOI: 10.1381/0960892054222669
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Prevention of Rhabdomyolysis in Bariatric Surgery

Abstract: As RML is an important and potentially fatal complication of bariatric surgery, the best way to avoid it is effective prevention. More research on this subject is necessary.

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Cited by 56 publications
(24 citation statements)
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“…Copious padding of pressure points is needed to avoid compression injuries, this is especially important during the early LC when operating times can extend to 6 h. 15 Severe nerve injuries including calf compartment syndrome have been described following RARP, 16 and gluteal compartment syndrome has been reported following robotic pyeloplasty. 17 Prolonged surgery appears critical in the aetiology of this condition with more than 4 h of ischaemia leading to myonecrosis and myoglobinuria; this places RARP well within reach of this serious complication 18 and mentored cases should have a maximum of a 4-h console time. Patients with high body mass index are also at higher risk, 19 making careful patient selection a priority in the early cases.…”
Section: Patient Positioningmentioning
confidence: 99%
“…Copious padding of pressure points is needed to avoid compression injuries, this is especially important during the early LC when operating times can extend to 6 h. 15 Severe nerve injuries including calf compartment syndrome have been described following RARP, 16 and gluteal compartment syndrome has been reported following robotic pyeloplasty. 17 Prolonged surgery appears critical in the aetiology of this condition with more than 4 h of ischaemia leading to myonecrosis and myoglobinuria; this places RARP well within reach of this serious complication 18 and mentored cases should have a maximum of a 4-h console time. Patients with high body mass index are also at higher risk, 19 making careful patient selection a priority in the early cases.…”
Section: Patient Positioningmentioning
confidence: 99%
“…In bariatric surgery, this excessive volume is prescribed because of the fear of rhabdomyolysis 15 . There are indications in the literature of aggressive hydration in Bariatric patients starting at the anesthetic act, with volume ranging from four to five liters of crystalloid fluids for two to three hours of operation 16 .…”
Section: Discussionmentioning
confidence: 99%
“…Bostanjium og medarbeidere (7), fant nedbrytning av gluteal muskulatur etter operasjoner blant pasienter med sykelig overvekt. Flere andre studier viser at dette er en kjent komplikasjon forårsaket av trykk under langvarige operasjoner for sykelig over vektige (15,16 …”
Section: Pasienter Med Sykelig Overvektunclassified