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KMID : 0604620070140010091
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Dongguk Journal of Medicine
2007 Volume.14 No. 1 p.91 ~ p.97
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Two Cases of Subcutaneous Emphysema through Laparoscopic Surgery
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Nam Vok-Hi
Kim Su-Jin
Park Eun-Jee
Kim Mi-Woon
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Abstract
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Laparoscopic surgeries have been widely performed, because of their advantages over laparotomies, however the artificial pneumoperitoneum is necessary during the laparoscopic procedure, and thus carrying some complications, such as subcutaneous emphysema, pneumomediastinum and CO2 gas embolism, of increased abdominal pressure. The monitoring of end-tidal partial pressure of CO2 can be an useful indicator during the laparoscopic surgeries. Whenever increased end-tidal partial pressure of CO2 in respect to operative time is observed, a complication of a laparoscopic surgery should be suspected.
We experienced two cases of subcutaneous emphysema unaccompanied by either pneumothorax or pneumomediastinum during laparoscopic gynecologic surgeries, more likely caused by inadvertent manipulation of Verres needle and leakage of insufflated gas into the subcutaneous tissue, in which were managed by hyperventilation and multiple punctures using 18G needle on emphysematous skin.
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KEYWORD
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laparoscopic surgery, subcutaneous emphysema
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