Långvarigt Trendelenburgs läge kan orsaka ögonskador
Engelsk titel: Risk of optic nerve injury after prolonged Trendelenburg’s position
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Författare:
Hallböök, Olof
;
Sjödahl, Rune
Email: olof.hallbook@regionostergotland.se
Språk: Swe
Antal referenser: 22
Dokumenttyp:
Artikel
UI-nummer: 18020070
Sammanfattning
Postoperative loss of vision due to acute ischaemic optic nerve injury is a rare complication following pelvic surgery. A steep Trendelenburg’s position of the patient, high intraabdominal pressure and a long operative time in Trendelenburg’s position are recognised risk factors associated with robot-assisted pelvic surgery. This manuscript presents the underlying pathophysiologic mechanism. Practical tips and tricks for prevention are discussed.