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Title: Pneumomediastinum and pneumothorax: a rare complication of laparoscopic total extraperitoneal inguinal hernia repair.
Author: Wallace, Lauren
Leigh, Ya'acov
Issue Date: 2023
Publication Title: Journal of Surgical Case Reports
Volume: 2023
Issue: 3
Start Page: 1
End Page: 3
Abstract: Increasing utilization of a laparoscopic total extraperitoneal (TEP) approach for inguinal hernia repairs has led to rare complications. We describe a rare case of subcutaneous emphysema, pneumomediastinum and pneumothorax following a laparoscopic TEP inguinal hernia repair in a 29-year-old male. Mechanisms posited include extraperitoneal carbon dioxide migration via the retroperitoneal space and dissection along the fascia transversalis and endothoracic fascia anteriorly to enter the mediastinum. Intra-operatively the patient coughed vigorously, potentially propagating the extent of extraperitoneal gas dissection and exacerbating these complications. Given the potential morbidity, it is important for surgeons and anaesthetists to recognize these complications.
Internal ID Number: 02134
Health Subject: CASE STUDY
Type: Journal Article
Appears in Collections:Research Output

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