Publication:
Colonic Perforation During Laparoscopic Hernia Repair Presented As Delayed Generalized Subcutaneous Emphysema: A Clue To Intra-abdominal Complication.

dc.contributor.authorMohammed M. Hajhamad,en_US
dc.contributor.authorZairul Azwan Azman,en_US
dc.contributor.authorNur Afdzillah Rahman,en_US
dc.contributor.authorRuhi Fadzlyana Jailani,en_US
dc.contributor.authorLuqman Mazlan,en_US
dc.contributor.authorIsmail Sagapen_US
dc.date.accessioned2024-05-28T03:37:53Z
dc.date.available2024-05-28T03:37:53Z
dc.date.issued2016
dc.description.abstractLaparoscopic operations are generally safe procedures. Complications of carbon dioxide (CO2) insufflation are rare but can be life threatening. That’s why it is very important for whoever handling this type of patients to be familiar with those complications and consequences. We are presenting a 61 year old woman who underwent laparoscopic repair of umbilical hernia. Surgery was uneventful; patient discharged home next day. Eight days later patient presented with generalized subcutaneous emphysema, started on the third postoperative day. CT scan showed extensive, generalized, subcutaneous emphysema with pneumomediastinum and penumoperitoneum. Laparotomy showed perforation at cecum, with gross faecal contamination of peritoneal cavity, right hemicolectomy with double barrel stoma performed. Colonic perforation may be due to thermal iatrogenic injury during surgery predisposed by presence of adhesions and diseased bowels as confirmed by histpathologic examination. We concluded that long operative time, higher CO2 pressure, more surgical ports and older age can be predisposing factors for this rare of presentation for colonic perforation.en_US
dc.identifier.citationInternational Surgery Journal Hajhamad MM et al. Int Surg J. 2016 Aug;3(3):1666-1668 http://www.ijsurgery.com pISSN 2349-3305 | eISSN 2349-2902en_US
dc.identifier.doihttp://dx.doi.org/10.18203/2349-2902.isj20162771
dc.identifier.epage1668
dc.identifier.issn2349-3305
dc.identifier.issue3
dc.identifier.other891-3
dc.identifier.spage1666
dc.identifier.urihttps://www.ijsurgery.com/index.php/isj/article/view/349
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/4832
dc.identifier.volume3
dc.language.isoenen_US
dc.publisherMedip Academyen_US
dc.relation.ispartofInternational Surgery Journalen_US
dc.subjectLaparoscopic surgery,en_US
dc.subjectColonic perforation,en_US
dc.subjectHernia repair,en_US
dc.subjectEmphysemaen_US
dc.titleColonic Perforation During Laparoscopic Hernia Repair Presented As Delayed Generalized Subcutaneous Emphysema: A Clue To Intra-abdominal Complication.en_US
dc.typeArticleen_US
dspace.entity.typePublication

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Colonic perforation during laparoscopic hernia repair presented as delayed generalized subcutaneous emphysema: a clue to intra-abdominal complication