medigraphic.com
Revista Mexicana de Coloproctología Enfermedades del Ano, Recto y Colon

2006, Number 1

<< Back Next >>

Rev Mex Coloproctol 2006; 12 (1)

Total subcutaneous emphysema secundary to rectopexy by laparoscopic technique

Rodríguez-Wong U, Reyes SG, Chon ÁC, García ÁJ, Pardo CR

Language: Spanish
References: 20
Page: 36-40
PDF size: 67.26 Kb.


ABSTRACT

Abdominal laparoscopic surgery is a procedure actually safe, this minimally invasive technique potentially offer decreased operation time, decreased morbidity, and decreased length of hospitalization stays; however, there are still some risk inherent to this surgical technique, like visceral injury, minor and major vascular injury, intraperitoneal adhesions, pneumomediastinum, pneumothorax and subcutaneous emphysema. Laparoscopic surgical treatment for rectal prolapse is a well accepted technique. One case of subcutaneous emphysema is reported; thorax, neck, face and upper extremities were involved, this patient was treated at the Juárez Hospital of México, México City, with the diagnosis of rectal prolapse, laparoscopic mesh rectopexy was performed. Some factors involved in this case were: hypercarbia, operative time greater than 200 minutes, use of six ports, and dissection of the retroperitoneum.


REFERENCES

  1. Gunene MZ, Yesildaglar N, Bingol B, Ovalan G, Tabak S, Gokmen B. The safety and efficacy of direct trocar insertion with elevation of the rectus sheath instead or the skin for pneumoperitoneum. Surg Laparosc Endosc Percutan Tech 2005; 15: 80-81.

  2. Voiculescu S, Jitea N, Burcos T, Cristian D, Angelescu N. Incidents, accidents and complications in laparoscopic surgery. Chirurgia (Bucur) 2000; 95: 397-399.

  3. Zhou H, Huang T, Zheng Q, Klinger P. Prevention and management of related complication due to laparoscopic operation: pneumothorax, pneumomediastinym and subcutaneous emphysema. J Tongji Med Univ 1996; 16: 45-47.

  4. Sobrado CW, Kiss DR, Nahas SC, Araujo SEA, Seid VE, Cotti G, Habr-Gama A. Surgical treatment of rectal prolapse: experience and late results with 51 patients. Rev Hosp Clin Fac Med S Paulo 2004; 59: 168-171.

  5. Boccasanta P, Venturi M, Reitano MC, Salamina G, Rosati R, Montorsi M, Fichera G, Strinna M, Peracchia A. Laparotomic vs laparoscopic rectopexy in complete rectal prolapse. Dig Surg 1999; 16: 415-419.

  6. Ripstein CB. Surgical care of massive rectal prolapse. Dis Colon Rectum 1965; 8: 34-38.

  7. Rodríguez-Wong U, Cruz I, García J. Rectopexia por laparoscopia en prolapso rectal. Rev Hosp Jua Mex 1999; 66: 144-147.

  8. Rodríguez-Wong U, García J, Cruz I, Mussan G. Resección abdominoperineal laparoscópica en cáncer rectal. Rev Hosp Jua Mex 1998; 65: 59-61.

  9. Santana A, Crausman RS, Dubin HG. Late onset of subcutaneous emphysema and hypercarbia following laparoscopic cholecystectomy. Chest 1999; 115: 1468-1471.

  10. Di Vita G, Frazzetta M, Cortese E, Damiano A. Complications of the laparoscopic access. G Chir 1996; 17: 31-36.

  11. Murdock CM, Wolff AJ, Van Greem T. Risk factor for hypercarbia, subcutaneous emphysema, pneumothorax, and pneumomediastinum during laparoscopy. Obstet Gynecol 2000; 95: 704-709.

  12. Ahn YW, Leach JA. A comparison of subcutaneous and preperitoneal emphysema arising from gynecologic laparoscopic procedures. J Reprod Med 1976; 17: 335-337.

  13. Wolf JS Jr, Monk TG, McDougall 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: 959-963.

  14. Kumar M, Kumar R, Hemal AK, Gupta NP. Complications of retroperitoneoscopic surgery at one centre. BJU Int 2001; 87: 607-612.

  15. Singh K, Singhal A, Saggar VR, Sharma B, Sarangi R. Subcutaneous carbon dioxide emphysema following endoscopic extraperitoneal hernia repair: possible mechanisms. J Laparoendosc Adv Surg Tech A 2004; 14: 317-320.

  16. Larach SW, Salomon MC, Williamson PR, Goldstein E. Laparoscopic assisted abdominoperineal resection. Surg Laparosc Endosc 1993; 3: 115-118.

  17. Ruiz-Healy F, Rodríguez-Wong U, Barajas E, Ruiz-Moreno F, Cruz D. Enfisema retroperitoneal secundario a excisión local de cáncer de recto. Rev Mex Radiol 1988; 42: 93-95.

  18. Walker HC, Nivatvongs S, Ansel HJ, Gedgaudas E. Massive extraperitoneal air in a 71-year-old woman, occurrence during a radiological study. JAMA 1982; 248: 1375-1376.

  19. Goerg KJ, Duber C. Retroperitoneal, mediastinal and subcutaneous emphysema with pneumothorax after colonoscopy. Dtsch Med Wochenschr 1996; 121: 693-696.

  20. Wolf JS Jr, Clayman RV, Monk TG, McClennan BL, MacDougall EM. Carbon dioxide absorption during laparoscopic pelvic operation. J Am Coll Surg 1995; 180: 555-560.




2020     |     www.medigraphic.com