Abstract
Nissen fundoplication, one of the surgical procedures applied to treat gastroesophageal reflux, is performed commonly because it is minimally invasive, causes the patient less pain, and requires shorter hospitalization. However, despite the low complication rate some patients may develop tension pneumothorax, a clinical condition that can be fatal. After reflux surgery (Nissen fundoplication), our patient develop tension pneumothorax and then hydrothorax. Such complications lead to prolonged hospitalization and increased morbidity. Laparoscopic surgical procedures are practical and common interventions; and early diagnosis is important for intraoperative and postoperative complications
References
- Mangar D, Kirchhoff GT, Leal JJ, Laborde R, Fu E. Pneumothorax during laparoscopic Nissen fundoplication. Can J Anaesth. 1994;41(9):854-6.
- Joris JL. Anesthesia For Laparoscopic Surgery. In: Miller RD, ed. Miller’s anesthesia. 6th ed. Philadelphia: Churchill Livingstone; 2004. p.2285-306.
- Mullett CE, Viale JP, Sagnard PE, Miellet CC, Ruynat LG, Counioux HC, et al. Pulmonary CO2 elimination during surgical procedures using intra- or extraperitoneal CO2 insufflation. Anesth Analg. 1993;76(3):622-6.
- Collazo E, Díaz Iglesias C. [Iatrogenic perforation of the intrathoracic colon after a late traumatic diaphragmatic hernia]. Rev Esp Enferm Dig. 1994;86(4):767-70.
Abstract
Gastroözefageal reflü için uygulanan cerrahi tedavilerden biri olan Nissen fundoplikasyonu, minimal
invaziv olması, hastada daha az ağrıya yol açması ve daha kısa süreli hospitalizasyon
gerektirmesi nedeniyle yaygınca uygulanmaktadır. Ancak komplikasyon oranı oldukça düşük
olmasına rağmen ölüme neden olabilecek tansiyon pnömotoraks gibi bir klinik durum ortaya
çıkabilmektedir. Hastamızda reflü cerrahisi (Nissen fundoplikasyonu) sonrası tansiyon pnömotoraks
ve sonrasında hidrotoraks gelişmiştir. Bu gibi komplikasyonlar hastanede kalış süresini
uzatmakta, morbiditeyi artırmaktadır. Laparoskopik cerrahi işlemler kolay ve yaygın uygulamalardır;
intraoperatif ve postoperatif komplikasyonlar açısından erken tanı önemlidir.
References
- Mangar D, Kirchhoff GT, Leal JJ, Laborde R, Fu E. Pneumothorax during laparoscopic Nissen fundoplication. Can J Anaesth. 1994;41(9):854-6.
- Joris JL. Anesthesia For Laparoscopic Surgery. In: Miller RD, ed. Miller’s anesthesia. 6th ed. Philadelphia: Churchill Livingstone; 2004. p.2285-306.
- Mullett CE, Viale JP, Sagnard PE, Miellet CC, Ruynat LG, Counioux HC, et al. Pulmonary CO2 elimination during surgical procedures using intra- or extraperitoneal CO2 insufflation. Anesth Analg. 1993;76(3):622-6.
- Collazo E, Díaz Iglesias C. [Iatrogenic perforation of the intrathoracic colon after a late traumatic diaphragmatic hernia]. Rev Esp Enferm Dig. 1994;86(4):767-70.
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | CASE REPORT |
| Authors | |
| Publication Date | December 30, 2016 |
| Acceptance Date | November 20, 2016 |
| Published in Issue | Year 2017 Volume: 22 Issue: 1 |
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