Subcutaneous carbon dioxide emphysema following endoscopic extraperitoneal hernia repair: possible mechanisms.
We report on a patient who developed subcutaneous emphysema with hypercarbia during an endoscopic, totally extraperitoneal (TEP) repair of an inguinal hernia. The possible mechanisms of carbon dioxide (CO2) insufflation causing emphysema of the subcutaneous tissues are discussed and ways to prevent it are proposed.
Singh
Karanvir
K
Department of Surgery, Sir Ganga Ram Hospital, New Delhi, India. KaranvirSinghMail-Public@yahoo.co.in
Singhal
Ashish
A
Saggar
Vishal Raj
VR
Sharma
Bimla
B
Sarangi
Rathindra
R
D002245:Carbon Dioxide / Q000009:adverse effects*; D005740:Gases / Q000009:adverse effects*; D006552:Hernia, Inguinal; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects; D013352:Subcutaneous Emphysema / Q000209:etiology*
D005740:Gases; D002245:Carbon Dioxide