Subcutaneous Emphysema and Pneumomediastinum during Laparoscopic Burch Operation / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 467-472, 1997.
Artigo
em Coreano
| WPRIM
| ID: wpr-62015
ABSTRACT
Laparoscopic Burch operation is one of laparoscopic surgery for stress urinary incontinence. Subcutaneous emphysema and hypercarbia are potential complications of laparoscopic surgery, but are more likely to occur in extraperitoneal surgery than in intraperitoneal surgery, since insufflated CO2 can diffuse easily into the surrounding tissues. We report a patient in whom pneumomediastinum and extensive subcutaneous emphysema developed during laparoscopic Burch operation. Transient hypoxemia was also accompanied with hypercarbia. Possible mechanisms are presented, along with discussion of prompt diagnosis and treatment. For the management of laparoscopic extraperitoneal surgery, it is necessary to be careful with monitoring of CO2 insufflation pressure, routine examination and palpation of chest wall, use of N2O with caution, increase of ventilation to eliminate CO2, and excluding other causes of subcutaneous emphysema and hypercarbia.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Palpação
/
Enfisema Subcutâneo
/
Incontinência Urinária
/
Ventilação
/
Dióxido de Carbono
/
Insuflação
/
Laparoscopia
/
Parede Torácica
/
Diagnóstico
/
Enfisema Mediastínico
Tipo de estudo:
Estudo diagnóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
1997
Tipo de documento:
Artigo
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