From March 1994 to August 1994, 100 patients were checked plain chest X-ray who had underwent pelviscopic surgery including radical hysterectomy, total hysterectomy, CISH, myomectomy, adnexectomy etc.
The operative indications were invasive cervical cancer, CIN, myoma uteri, intractable vaginal bleeding, ectopic pregnancy, benign ovarian mass, acute or chronic pelvic pain. Surgical techniques included usage of videolaparoscopy, bipolar forceps
for
hemostasis, endoloops and endonahrs. Endo-GIAs, lasers and monopolar electrosurgical devices were not used.
During the operation, pneumoperitoneum was formed by using the CO2 insufflator maintaining intra-abdominal pressure about 12 mmHg. On the postoperative(POD) 1 day, 3 day, 5 day, simple chest X-ray were checked serially.
@ES The results were as follows.
@EN The mean age of patients was 38.1 years old. Operative time ranged from 35 min. to 420 min. and mean was 122±65 minutes. Used CO2 gas ranged 35 L to 125 L and mean was 317±224L. Mean hemoglobin change from preoperation to postoperative
first
day
was 1.6mg/dl.
On the real size chest X-ray film, the subphrenic vertical free air length was 5.22±7.42 mm on POD first day, 1.99±4.64 mm on POD third day and 0.41±2.23 mm on POD fifth day.
In a case of intestinal perforation, over 10 mm subphrenic free air was detected on the chest film on POD fifth day. We conclude that checking serial simple chest X-ray may be helpful for differential diagnosis of possible intestinal injury, when
it is
suspected.
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