Yesterday I had an incident where 3 patients came back to the PACU complaining of unbearable leg pain. They had lap gyn proceedures done up in swing stirrups/candycanes. I seem to remember this from days gone by and was wondering if others in the OR had encountered this type of upper leg pain related to the use of these stirrups. Their surgical site pain was not the issue and I would petition against using them further if I could get some good solid info regarding their use.
Oct 17, '07
It could be that the legs are hyperflexed at the hip resulting in impaired circulatory function to the legs. Is this occurence with the same physician? Allen stirrups do prevent this problem and I agree with mikethern about reporting this to the NM. You may also want to discuss this finding with the GYN's with whom you work. Also, during cases requiring vaginal retraction (vag hyst) the assistants holding the retractors often gain leverage by resting their arms on the patient's posterior thigh. This further flexes the hip and impairs circulatory, as well as nerve function. You can google "surgical position physiology" where AORN has covered this topic completely.
Last edit by ebear on Oct 18, '07
: Reason: addition