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KMID : 0352120120280010039
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Journal of Kyung Hee University
2012 Volume.28 No. 1 p.39 ~ p.43
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Pneumothorax during Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair
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Cho Yong-Hyun
Kim Sun-Hee
Lee Dong-Hyun
Lim Hyung-Woo
Cheon Sung-Hyun
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Abstract
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Pneumothorax during laparoscopic surgery is rare but can cause severe complication such as death. A 62-years-old man undergone laparoscopic totally extraperitoneal inguinal hernia repair under general anesthesia. About 110 minutes after CO2 insufflation , the oxygen saturation was decreased, and hypotension, tachycardia, hypercapnia was developed. Right pneumothorax with subcutaneous emphysema was recognized on the intraoperative chest-radiography. The pneumothorax improved after chest tube insertion. Anesthesiologists should be aware of the possible occurrence of
pneumothorax during laparoscopic surgery, and careful monitoring and immediate treatment is necessary.
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KEYWORD
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Pneumothorax, Subcutaneous emphysema, Laparoscopy, Inguinal hernia
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