The dangers of diagnostic laparoscopy in the head injured patient.
نویسندگان
چکیده
Pneumoperitoneum during laparoscopy has been known to result in a rise in intracranial pressure (ICP) in experimental studies. There are no reports of the effect of pneumoperitoneum during diagnostic laparoscopy in patients suffering closed head injuries. We present the case of a 39 year old male with a closed head injury. Diagnostic laparoscopy was performed while intracranial pressure was monitored. ICP increased from 9 mmHg to over 60 mmHg within 10 min of pneumoperitoneum. Laparoscopy was terminated and the ICP returned to normal levels within 35 min. The authors recommend that pneumoperitoneum laparoscopy should not be used in the trauma setting where head injury is suspected.
منابع مشابه
Assessment and evaluation of patient doses in adult common CT examinations towards establishing national diagnostic reference levels
Background: Patient radiation doses from computed tomography (CT) are increasing due to the number of CT examinations performed every day. The aim of this study was assess and evaluate patient radiation doses for adult’s common CT examinations to derive local diagnostic guidance levels for common CT examinations. Materials and Methods: Volume and weighted computed tomography dose index (C...
متن کاملEvaluation of Diagnostic Visual Findings at Laparoscopy in Endometriosis
Background Endometriosis has been widely implicated as one of the causes of chronic pelvic pain, dysmenorrhea and infertility. The purpose of our study was to define the presumed correlation between visual and histologic diagnostic features of endometriosis based on the peritoneal findings identified in laparoscopy as a diagnostic trial with a standardized technique. So, all the specimens inclu...
متن کاملP-179: Spinal Anesthesia in Laparoscopic Surgery of Infertile Patients
Background: Laparoscopy is one of the most common surgical procedures. General anesthesia as the only suitable technique for laparoscopic procedures is a concept of the past. A problem with modern general anesthetics is that even though patients can be awake and oriented shortly after cessation of the anesthetic. There is growing evidence suggesting that regional anesthesia has an important rol...
متن کاملگزارش یک مورد پارگی بطن چپ
Cardiac rupture, particularly rupture of the left ventricular wall, has a very high mortality rate. In this occasion, even if injured patients being alive when carried to the hospital, many of them will die due to following possible reasons: severe bleeding, cardiac tamponade, wasting time for routine and usual diagnostic procedures or transferring the injured to other hospital equipped for car...
متن کاملبررسی قدرت تشخیصی لاپاروسکوپی در دردهای حاد مبهم شکمی
Background and purpose: Patients with acute vague abdominal pain or acute atypical abdominal pain may undergo operation without definite diagnosis and may be treated or discharged after some hours or days of observation without definite results. Laparoscopy, a new diagnostic and therapeutic method, can help in diagnosing the definite cause, as a minimal invasive technique. Materials and me...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
دوره 9 5 شماره
صفحات -
تاریخ انتشار 2002