| Two cases of epidural anesthesia-associated postoperative decubitus. | |
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MedLine Citation:
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PMID: 18840199 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Very few cases of postoperative decubitus have been reported. We report two cases of hip decubitus after myomectomy. Case 1 is a 32-year-old Japanese woman who underwent an uncomplicated myomectomy under the combination of general and epidural anesthesia. Twelve hours after surgery, a palpable soft tissue mass developed in the sacral region. On day 3, the soft tissue mass had disappeared and the patient was discharged on day 8. Case 2 is a 33-year-old woman. Under a combination of spinal and epidural anesthesia, a myomectomy was carried out. On day 1 after surgery, a hard mass with redness was detected. On day 8, decubitus improved and she was discharged. We evaluated the temporal changes in anesthetic level in four independent cases. Eighteen hours after surgery, the anesthetic effect still continued below the L2 level. We conclude that the extended effect of epidural anesthesia might be one of the mechanisms causing postoperative decubitus. |
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Authors:
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Eri Takahashi; Seiji Isonishi; Michiko Suzuki; Asako Ogura; Shiro Kunito; Masanori Hirama; Hirokazu Shoji; Kazuhiko Ochiai; Tadao Tanaka |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The journal of obstetrics and gynaecology research Volume: 34 ISSN: 1341-8076 ISO Abbreviation: J. Obstet. Gynaecol. Res. Publication Date: 2008 Aug |
Date Detail:
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Created Date: 2008-10-08 Completed Date: 2009-01-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9612761 Medline TA: J Obstet Gynaecol Res Country: Japan |
Other Details:
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Languages: eng Pagination: 763-6 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Jikei University Aoto Hospital, Tokyo, Japan. eri-t@zg7.so-net.ne.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anesthesia, Epidural / adverse effects* Female Humans Leiomyoma / surgery Postoperative Complications / chemically induced* Pressure Ulcer / etiology* Uterine Neoplasms / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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