Head-down tilt lithotomy position and well-leg compartment syndrome: an international survey of current practice

This is a cross-sectional survey study aiming to gain insight into current international practice among clinicians who regularly utilize the head-down tilt lithotomy (HDTL) position for prolonged minimally invasive abdominopelvic surgeries in adults. Additionally, the study seeks to assess the prevalence and current management strategies for well-leg compartment syndrome (WLCS), a well-documented complication associated with prolonged use of HDTL.
This survey is part of a wider project investigating the effect of HEad-down tilt Lithotomy Position on lower limb haemodynamics (HELP project) in a bid to inform expert-driven, evidence-based guidance for the prevention of WLCS in abdominopelvic minimally invasive surgery.