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Korean Journal of Obstetrics & Gynecology 2003;46(12):2528-2533.
Published online December 1, 2003.
Two Cases of Subcutaneous Emphysema and Pneumomediastinum Identified During the Laparoscopic Tubal Anastomosis.
Jeong Hwan Kim, Ji Hyang Kim, Jee Eun Han, Yong In Kang, Tae Hee Kwon, Su Yeon Kim, Tae Ki Yoon
1Department of Obstetrics and Gynecology, Infertility Medical Center, CHA General Hospital, Seoul, Korea.
2Department of Obstetrics and Gynecology, College of Medicine, Pochon CHA University, Seoul, Korea.
3Department of Anesthesiology, College of Medicine, Pochon CHA University, Seoul, Korea.
4Department of Radiology, College of Medicine, Pochon CHA University, Seoul, Korea.
Abstract
Over the last few decades, laparoscopy has evolved from a useful diagnostic tool to a complex surgical method. With its increasing popularity, the complications associated with laparoscopy are also increasing in number and variety. Subcutaneous emphysema, a complication related to the pneumoperitoneum, may result in hypercarbia, pneumomediastinum, and pneumothorax. It can result in even respiratory failure in serious cases. However, it may be easily detected with the signs of increased maximum positive end-tidal CO2 (PETCO2) and crepitus. Fortunately, most of them are recovered by proper conservative management. We report two cases of subcutaneous emphysema and pneumomediastinum identified during laparoscopic tubal anastomosis.
Key Words: Laparoscopy, Pneumoperitoneum, Subcutaneous emphysema, Pneumomediastinum
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