|Discussion in 'All Categories' started by Komal - Apr 19th, 2011 4:11 pm.|
|What are the Risks of Laparoscopy?
re: What are the Risks of Laparoscopy? by Dr Sadhana - Apr 20th, 2011 6:28 am
There are many complication of laparoscopic surgery. Gas embolism is possible but uncommon because the gas is highly soluble and is reabsorbed so quickly that, even if there has been a moderate embolus, the circulatory changes return to normal within a few minutes and the patient recovers.
Up to 400ml of gas may be intravasated without producing changes in the ECG.
Cardiac arrythmia may be due to excessive absorption of CO2.
Monitor the intra-abdominal pressure throughout the operation and use an automatic pneumoflator for all but the simplest forms of surgery.
This will cut out if the intra-abdominal pressure rises.
Endotracheal intubation and positive pressure respiration will help to prevent complications from CO2 insufflation.
Post-operative pain is common with CO2 insufflation due to peritoneal irritation which is a result of conversion of CO2 to carbonic acid.
The chest pain may be confused with coronary heart disease and be treated inappropriately with anti-coagulants.
The omentum is penetrated by the Veress needle in about 2 percent of cases.
The misplacement should be recognized by the aspiration test and the position of the tip altered to free the needle.
There will also be a raised insufflation pressure which should lead the surgeon to suspect an error in the position of the needle.
The condition is usually innocuous unless omental blood vessel is punctured.
re: What are the Risks of Laparoscopy? by Jenny - Jun 15th, 2011 1:20 am
|At last! Someone who understands! Thkans for posting!|
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