Capnothorax During Laparoscopy in Trendelenburg Position: A Rare Case Study
| Autor: | Marisa Antunes, Fátima Gonçalves, Sónia Barata, Ana Margarida Damas |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Laparoscopic surgery
head-down tilt/adverse effects lcsh:R5-920 medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment positive-pressure respiration lcsh:R Trendelenburg position Trendelenburg laparoscopy lcsh:Medicine Diaphragmatic breathing General Medicine medicine.disease Surgery Pneumoperitoneum Pneumothorax Medicine lcsh:Medicine (General) business Laparoscopy pneumothorax/etiology Abdominal surgery |
| Zdroj: | Acta Médica Portuguesa, Vol 33, Iss 3, Pp 202-203 (2020) |
| ISSN: | 1646-0758 0870-399X |
| DOI: | 10.20344/amp.11606 |
| Popis: | Pneumothorax is an infrequent complication of laparoscopic surgery. Most cases occur during upper abdominal surgery, since a head-down position (Trendelenburg) pushes the liver and peritoneum against the diaphragm, reducing gas release. When it is due to CO2 diffusion across congenital diaphragmatic defects, it usually resolves itself spontaneously after de-insufflation of the pneumoperitoneum. Increasing positive end-expiratory pressure to counteract intra-abdominal pressure is an effective measure when a pulmonary origin is excluded. We report a case of right-sided hypertensive capnothorax due to a diaphragmatic defect, during lower abdominal surgery, which was successfully managed without the need for chest drainage. This case highlights the importance of maintaining active vigilance and a high index of suspicion for pneumothorax during laparoscopic surgery. |
| Databáze: | OpenAIRE |
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