Korean J Anesthesiol.  2010 May;58(5):490-494. 10.4097/kjae.2010.58.5.490.

Pneumothorax during laparoscopic totally extraperitoneal inguinal hernia repair: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Chungju Hospital, Konkuk University School of Medicine, Chungju, Korea.
  • 2Department of Anesthesiology and Pain Medicine, Seoul Hospital, Konkuk University School of Medicine, Seoul, Korea. pondkim@unitel.co.kr
  • 3Department of Anesthesiology and Pain Medicine, Inje University College of Medicine, Ilsan Paik Hospital, Goyang, Korea.

Abstract

We experienced an extremely rare complication during performance of laparoscopic totally extraperitoneal (TEP) inguinal hernia repair for a 57-year-old healthy man. About 50 minutes after CO2 insufflation, the patient developed tachycardia, hypoxemia, hypercapnia and an increased airway pressure. Right pneumothorax with subcutaneous emphysema was recognized on the emergency chest X-ray and this was successfully treated by chest tube insertion. Anesthesiologists should be aware of the possible occurrence of pneumothorax during laparoscopic TEP hernia repair.

Keyword

Hernia repair; Laparoscopy; Pneumothorax; Subcutaneous emphysema

MeSH Terms

Anoxia
Chest Tubes
Emergencies
Hernia, Inguinal
Herniorrhaphy
Humans
Hypercapnia
Insufflation
Laparoscopy
Middle Aged
Pneumothorax
Pyrazines
Subcutaneous Emphysema
Tachycardia
Thorax
Pyrazines
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