title: [Otorrhagia. A complication of laparoscopic hemicolectomy].
abstract: The fast and increasing advance in surgical technology during the last decades has led to a remarkable development in laparoscopic surgery. "Minimally invasive" surgery has become very popular in the last few years, not only in gynecological procedures but also in general surgery, orthopedics, thoracic and urological procedures. Gas inflation into the abdominal cavity and patient position provokes physiological changes, as well as complications that are not seen in open surgery. Pneumoperitoneum and the Trendelenburg position beyond 35° cause hemodynamic changes, resulting in an increase in arterial and central venous pressure. The external auditory canal vessels are directly affected by these changes, and postoperative otorrhagia after a prolonged laparoscopic surgery may be present. A case is presented of postoperative bilateral otorrhagia after laparoscopic left hemicolectomy.
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital San Agustín, Avilés, Asturias, España. Electronic address: lorenespana@yahoo.es.
authors.forename: L
authors.initials: L
authors.lastname: España Fuente
authors.affiliation: Servicio de Anestesiología y Reanimación, Complejo Hospitalario de León, León, España.
authors.forename: A
authors.initials: A
authors.lastname: Fernández Diez
authors.affiliation: Servicio de Anestesiología y Reanimación, Complejo Hospitalario de León, León, España.
authors.forename: A
authors.initials: A
authors.lastname: Pérez Villafañe
mesh_terms: D003082:Colectomy; D018475:Head-Down Tilt; D006439:Hemodynamics; D006470:Hemorrhage; D006801:Humans; D010535:Laparoscopy; D011028:Pneumoperitoneum, Artificial
keywords: Cambios hemodinámicos; Hemodynamic changes; Laparoscopia; Laparoscopy; Neumoperitoneo; Otorragia; Otorrhagia; Pneumoperitoneum; Trendelenburg