| The dangers of diagnostic laparoscopy in the head injured patient. | |
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MedLine Citation:
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PMID: 12383425 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pneumoperitoneum during laparoscopy has been known to result in a rise in intracranial pressure (ICP) in experimental studies. There are no reports of the effect of pneumoperitoneum during diagnostic laparoscopy in patients suffering closed head injuries. We present the case of a 39 year old male with a closed head injury. Diagnostic laparoscopy was performed while intracranial pressure was monitored. ICP increased from 9 mmHg to over 60 mmHg within 10 min of pneumoperitoneum. Laparoscopy was terminated and the ICP returned to normal levels within 35 min. The authors recommend that pneumoperitoneum laparoscopy should not be used in the trauma setting where head injury is suspected. |
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Authors:
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Ralph J Mobbs; Michael Ow Yang |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia Volume: 9 ISSN: 0967-5868 ISO Abbreviation: J Clin Neurosci Publication Date: 2002 Sep |
Date Detail:
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Created Date: 2002-10-17 Completed Date: 2003-01-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9433352 Medline TA: J Clin Neurosci Country: Scotland |
Other Details:
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Languages: eng Pagination: 592-3 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Institute of Neurological Sciences, The Prince of Wales Hospital, Sydney, Australia. ralphmobbs@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Accidents, Traffic Adult Craniocerebral Trauma / diagnosis*, physiopathology, radiography, surgery* Diagnostic Techniques, Surgical / adverse effects* Glasgow Coma Scale Humans Intracranial Pressure / physiology Laparoscopy / adverse effects* Male Memory Disorders / etiology Tomography, X-Ray Computed |
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