Next Upcoming Event ASGBI Emergency General Surgery Symposium, London/Online – 12th November 2026

Head-Down Tilt Lithotomy (HDTL) & WLCS Survey – now live

Dear Surgical Colleague

We hope this message finds you well.

We would like to kindly invite you to participate in an international survey where all responders are offered the opportunity to be listed as collaborators (PubMed citable).

Minimally invasive surgery (MIS) is becoming the gold standard for abdominopelvic procedures. The head-down tilt lithotomy (HDTL) position is more commonly used during abdominopelvic MIS. Prolonged HDTL has been associated with adverse events such as well-leg compartment syndrome (WLCS), which potentially increases perioperative morbidity.

We would like to invite you to this international survey to assess global real-world HDTL practices and evaluate the prevalence and management strategies for WLCS. This survey is part of a broader research project seeking to inform expert-driven evidence-based guidance to improve patient safety when HDTL is employed during abdominopelvic MIS. The survey will take about 5 minutes to complete.

Link to survey: https://portsmouth.onlinesurveys.ac.uk/the-help-project-survey

FOR AUTHORSHIP: If you wish to join the Study Group and be acknowledged as a collaborator (PubMed citable), please follow the link provided on the last survey page.

We will appreciate it if you could share this link with your colorectal, urology, and gynaecology colleagues.

Thank you for your time and interest.

Best regards,

Dr Chukwuemeka Uzoma, Prof Jim S Khan, Dr Maria Perissiou, Dr Anthony Shepherd, Dr Zoe Saynor, Dr Samuel Stefan, Dr Guglielmo Niccolò Piozzi

 

For more information or discussion please do contact:

Dr Chukwuemeka Uzoma, MD

Project Chief Investigator

+44 7466733040

chukwuemeka.uzoma@port.ac.uk

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