INTRODUCTION LAPAROSCOPY AND OPERATIVE LAPAROSCOPY are the second most commonly performed gynecologic procedures after dilatation and curettage. During these procedures, injuries to the blood vessels in the abdominal wall have resulted from direct trauma caused by either the pneumoperitoneum needle or the trocars. (1) An injury can occur despite direct visualization, elevation of the abdominal ...

Tension pneumoperitoneum is commonly caused by gastrointestinal perforation and pulmonary causes are extremely rare. We present a case of a 47-year-old male post motor vehicle accident with a suspected left-sided haemopneumothorax on initial chest x-ray. CT of the chest post chest tube insertion showed a left-sided diaphragmatic rupture and an extensive diaphragmatic hernia. While en-route to t...

BACKGROUND The presence of subcutaneous emphysema, pneumomediastinum and pneumoperitoneum simultaneously is a rare complication of upper gastrointestinal endoscopy that usually indicates free perforation to the peritoneal cavity or the retroperitoneal space. CASE PRESENTATION We report an unusual case of a self-limited subcutaneous emphysema, pneumomediastinum and pneumoperitoneum following a...

NMA Williams, DFL Watkin Summary Intraperitoneal free gas seen radiologically as air under the diaphragm nearly always indicates a perforated abdominal viscus that requires surgical intervention. Rarely, however, the presence of a pneumoperitoneum may not indicate an intra-abdominal perforation and thus may not require laparotomy. Such a situation is termed spontaneous or nonsurgical pneumoperi...

PURPOSE to study the effect of Propranolol on hemodynamic response due to airway manipulation and carbon dioxide pneumoperitoneum on laparoscopic cholecystectomy cases. METHODS 63 patients undergoing laparoscopic cholecystectomy under general anaesthesia were randomly divided into 3 groups; group 1 received 1.0 mg of Propranolol, group 2 received 0.5 mg of Propranolol and group 3 received 1 m...

Tetsuro Nishida Department of Internal Medicine, School of Medicine, Shinshu University (Prof.: Tadamasa Tozuka) In 60 cases of pulmonary tuberculosis treated with artificial pneumoperitoneum or with combination of pneumoperitoneum and chemotherapy, the relation between plasma protein fractions and clinical pictures was investigated, and following results were obtained. 1) In the plasma protein...

OBJECTIVE To investigate the effects of desiccation (without cooling) and of oversaturation of the pneumoperitoneum on adhesion formation. DESIGN Prospective randomized trial. SETTING Academic research center. ANIMAL(S) BALB/c and NMRI female mice. INTERVENTION(S) The effect of desiccation using nonhumidified CO(2) on adhesion formation was evaluated in a laparoscopic mouse model. Body ...

BACKGROUND Pneumoperitoneum is usually seen after bowel perforations and surgical procedures. An increasing number of cases of non-surgical pneumoperitoneum related to sexual activity has been reported worldwide over the last years. CASE EXAMPLE: A typically young, otherwise healthy woman comes into the emergency department of Stanford University, California, complaining of recurrent chest pain...

PURPOSE To assess the bactericidal action of ozone pneumoperitonium, and to compare the results with CO2. METHODS It was used 36 Wistar rats. The animals, under anesthesia, were inoculated with 2ml of E. coli ATCC at a concentration of 10(10)UFC, and 1ml of BaSO4, into the peritoneal cavity. They were divided into three groups: Group 1, CO2 pneumoperitoneum was performed for 15 minutes; Group...

BACKGROUND Pneumoperitoneum-induced oxidative stress and organ injury are known to be associated with nitric oxide (NO) inactivation. Because arginase competes with NO synthase (NOS) for a common substrate, L-arginine, arginase inhibition may increase NO bioavailability. Therefore, we evaluated the ability of the arginase inhibitor, 2 (S)-amino-6-boronohexanoic acid (ABH), to attenuate pneumope...