Intraoperative splanchnic ischemia, as documented by gastric intramucosal pH-i, is directly correlated to the increase of IL-6 plasma levels and to the incidence of postoperative complications, while IL-8 levels showed no correlation with surgical complications.
SummaryBackground: ankle arthroscopy increased its role in the diagnosis and treatment of pathology of the ankle since 1970s. Although the benefits are well established, ankle arthroscopy is associated with a definite risk of complications, especially neurological. The incidence rate of vascular complication after anterior ankle arthroscopy is of 0,008%. Methods: we describe the case of a 66-year-old Caucasian woman who develops a pseudoaneurysm of peroneal artery after a diagnostic ankle arthroscopy and we review literature to analyze incidence of vascular complication, also because we described for the first time the formation of a pseudoaneurysm of peroneal artery. Conclusion: formation of a pseudoaneurysm after anterior ankle arthroscopy is extremely rare but it should be kept in mind by a surgeon. It' quite easy to identify, basing on physical examination, integrated with ultrasound or CT and RMI scan. Also it's important to consider peroneal artery as possible site of formation of pseudoaneurysm.
Background: ankle arthroscopy increased its role in the diagnosis and treatment of pathology of the ankle since 1970s. Although the benefits are well established, ankle arthroscopy is associated with a definite risk of complications, especially neurological. The incidence rate of vascular complication after anterior ankle arthroscopy has been reported. Methods: we review the literature on vascular complications after anterior ankle arthroscopy especially pseudoaneurysm and a case report of a peronal artery pseudoaneurysm was reported. Conclusion: vascular complications after an anterior ankle arthroscopy are extremely rare but orthopaedic surgeons should be wary of this chance. Among vascular complications after an anterior ankle arthroscopy, peroneal artery pseudoaneurysm to our knowledge never has been described until now.
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