The mechanism for the development of this complication and its management are discussed.
📌 3 Key Takeaways
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Objective & Hypothesis:Diagnostic and therapeutic laparoscopy is a relatively safe invasive procedure, but complications can occur, mainly related to Veress needle and trocar insertion.
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Key Findings & Data:The rare occurrence of subcutaneous emphysema, as a consequence of pneumoperitoneum, following laparoscopy, is reported.
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Conclusion & Impact:The mechanism for the development of this complication and its management are discussed.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Ameliyat sonrası komplikasyonlar · Ciltaltı amfizemi · Kadın
Abstract
Diagnostic and therapeutic laparoscopy is a relatively safe invasive procedure, but complications can occur, mainly related to Veress needle and trocar insertion. The rare occurrence of subcutaneous emphysema, as a consequence of pneumoperitoneum, following laparoscopy, is reported. The mechanism for the development of this complication and its management are discussed.
Özet
Diagnostik ve operatif laparoskopiler nispeten güvenli girişimler olmakla birlikte başlıca Veress iğnesi ve trokar yerleştirilmesine bağlı olarak komplikasyonlar görülebilir. Laparoskopide, pnömoperitonyum sırasında nadiren oluşan subkutanöz amfizem bildirilmiştir. Olgu sunumunda bu komplikasyonun gelişim mekanizması ve yönetilmesi tartışıldı.
KARAMAN, S., AKARSU, T., BİLGİ, M., FIRAT, V. (2005). Diagnostik jinekolojik laparoskopi sırasında oluşan subkutanöz amfizem ve hiperkarbi: Olgu sunumu. Ege Tıp Dergisi, Cilt: 44 - Sayı: 3, 191–194. https://ajindex.com/articles/222971
Schietroma M, Carlei F, Perata E, Capperucci G, Perata A, Natuzzi G, Simi M. Subcutaneous emphysema. Complication associated with pneumoperitoneum during videolaparoscopic cholecystectomy. Minerva Chir. 2001; 56(4): 405-7
Perko G, Fernandes A. Subcutaneous emphysema and pneumothorax during laparoscopy for ectopic pregnancy removal. Acta Anaesthesiol Scand 1997; 41: 792-4 9. Wolf JS, Monk TG, McDoughall EM, McClennan BL, Clayman RV. The extraperitoneal approach and subcutaneous emphysema are associated with greater absorption of carbon dioxide during laparoscopic renal surgery. J Urol 1995;154: 959-63
Waisbren SJ, Herz BL, Ducheine Y, Yang HK, Karanfilian RG. Iatrogenic respiratory acidosis during laparoscopic preperitoneal hernia repair. J Laparoendosc Surg 1996; 6: 181-3
Wolf JS, Clayman RV, Monk TG, McClennan BL, McDoughall EM. Carbon dioxide absorption during laparoscopic pelvic operation. J Am Coll Surg 1995;180: 555-60
Chapron C, Querleu D, Made G, et al: Complications of gynecologiclaparoscopy. Multicentric study of 7,604 laparoscopies. J Gnecol Obstet Biol Reprod. 1992; 21: 207-213
Lew JKL,Gin T, Pearce JD. Respiratory acidosis and subcutaneous emphysema during laparoscopiccholecystectomy. Can J Anaesth. 1994; 41: 314-16
Motew M, Ivankovich AD, Bieniarez, Albrecht RF, Zahed B, Scommegna A. Cardiovascular effects and acid-base and blood gas changes during laparoscopy. Am J Obstet Gynecol. 1973; 115: 1002-12
Lehmann LJ, Lewis MC, Goldman H, Marshall JR. Cardiopulmonary complications during laparoscopy. South Med J. 1995; 88:1072-5
Wittgen CM, Andrus CH, Fitzgerald SD, Baudendistel LJ, Dahms TE, Kamin