Pneumopericardium and Severe Subcutaneous Emphysema after Laparoscopic Surgery

Ko, Mei–Lan

doi:10.1016/j.jmig.2010.03.006

Cited by 15 publications

(4 citation statements)

References 12 publications

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“…It is known that the body responses systematically to discomfort via disturbances of body fluid and cells expressed by the organs function. Similar subcutaneous emphysema was reported to occur as an adverse effect of carbon dioxides absorption during laparoscopic surgery procedure [14] , [15] . A nonextensive subcutaneous emphysema during laparoscopy surgery has obliged patients to take 2–3 days for recovery [14] .…”

Section: Discussionmentioning

confidence: 56%

The effect of hydrogen gas evolution of magnesium implant on the postimplantation mortality of rats

Noviana

Paramitha

Ulum

et al. 2016

Journal of Orthopaedic Translation

114

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SummaryBackground/ObjectiveHydrogen gas cavity is formed during in vivo degradation of magnesium implants. In many studies, the gas cavity is mostly punctured out subcutaneously. However, this procedure becomes inapplicable in certain internal surgeries; therefore, the effect of this gas cavity is worth further assessment.MethodsIn this study, we investigated the effect of hydrogen gas evolution on the mortality of rats and analysed the whole body capacity to relieve the gas. Porous pure-magnesium implants were implanted in the femoral bone defect of adult Sprague-Dawley rats up to 18 days, and their survival rate was calculated while the gas cavity size was measured, and its effect was analysed with support of radiographic and blood analysis.ResultsThe gas cavity was rapidly formed surrounding the implantation site and obviously decreased the rats' survival rate. The gas was observed to swell the surrounding implantation site by filling the loose compartments and then dispersing subcutaneously to other areas.ConclusionThe rat's whole body capacity was unable to tolerate the rapid and persistent hydrogen gas cavity formation as shown by high postimplantation mortality.

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Section: Discussionmentioning

confidence: 56%

The effect of hydrogen gas evolution of magnesium implant on the postimplantation mortality of rats

Noviana

Paramitha

Ulum

et al. 2016

Journal of Orthopaedic Translation

114

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“…Subcutaneous emphysema is one of the most common complications in laparoscopic surgeries, but most of them are minor degrees. 1 Only 0.23–4.3% of laparoscopic surgeries showed macroscopically identifiable subcutaneous emphysema, 2 but the incidence of these subcutaneous emphysema increases up to 16.4% when using AIRSEAL® device. 2 …”

Section: Discussionmentioning

confidence: 99%

Severe subcutaneous emphysema caused by small injury to the abdominal wall during robot-assisted laparoscopic radical prostatectomy

Fukui

Kagebayashi

Iemura

et al. 2022

Urology Case Reports

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A 67-year-old man underwent RARP in the Trendelenburg position with pneumoperitoneum at 12 mmHg. Gradual elevation of End-tidal CO2(EtCO2) began, and extensive subcutaneous emphysema was recognized when EtCO2 reached 58 mmHg. After interruption of pneumoperitoneum, careful observation of the surgical field led to detect an injury of the abdominal wall of 1 cm in length, suggesting the cause of severe subcutaneous emphysema. The injury was repaired and RARP was terminated without any cardiovascular problems. Attention should be paid that even minor abdominal wall injury could lead to severe subcutaneous emphysema which may cause respiratory or cardiovascular problems during laparoscopic surgeries.

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“…The clinical presentation was consistent with that of pericarditis, but the short time period since surgery and the lack of pericardial effusion on echocardiogram also made pericarditis an unlikely diagnosis. Albeit rare, pneumomediastinum and pneumopericardium have occasionally been reported due to blunt chest trauma, barotrauma from mechanical ventilation, laparoscopic procedures, or other surgical procedures that breech the integrity of the diaphragm . Review of our patient's operative record revealed that he had been ventilated at a low pressure throughout the operation, and the diaphragm had not been manipulated.…”

Section: Discussionmentioning

confidence: 80%

PostOperative ST‐segment elevation: not a blocked coronary artery, then what?

Sin

Kwong

Wong

et al. 2018

Clinical Case Reports

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Key Clinical Message ST‐segment elevation is well known for its diagnostic value for transmural myocardial infarction due to acute thrombotic occlusion of a coronary artery, and often requires emergency reperfusion therapy. However, ST segment is by no means pathognomonic for acute coronary events. Here, we report a case of ST‐segment elevation after hepatectomy secondary to an unusual etiology.

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Pneumopericardium and Severe Subcutaneous Emphysema after Laparoscopic Surgery

Cited by 15 publications

References 12 publications

The effect of hydrogen gas evolution of magnesium implant on the postimplantation mortality of rats

The effect of hydrogen gas evolution of magnesium implant on the postimplantation mortality of rats

Severe subcutaneous emphysema caused by small injury to the abdominal wall during robot-assisted laparoscopic radical prostatectomy

PostOperative ST‐segment elevation: not a blocked coronary artery, then what?

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