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Use of microcatheter for intraabdominal survey
- Source :
- Journal of Pediatric Surgery. 47:e25-e27
- Publication Year :
- 2012
- Publisher :
- Elsevier BV, 2012.
-
Abstract
- Background Laparoscopy is the most common procedure for minimally invasive intraabdominal surveys. Patients with pulmonary hypertension (PHTN) may need an alternate approach because the systemic absorption of carbon dioxide may lead to hypercapnia, acidemia, and increases in systemic and pulmonary pressures. We report a case of intraabdominal survey using a microcatheter trocar (Check-Flo Introducer) in a patient with a large adnexal mass and PHTN. Case An adolescent girl with severe PHTN and multiple cardiac anomalies presented with oligomenorrhea. During the course of workup, an ultrasound revealed an 8-cm simple cyst in the right adnexa, which required removal. The decision was made to proceed with cystectomy. The patient was not a candidate for laparoscopy, and an alternative method was used. The Check-Flo Introducer, a microcatheter trocar; crystalloid fluid infusion; and a 3-mm laparoscopic camera were used to survey the abdominal cavity, revealing a 10-cm simple paratubal cyst that could be safely drained and removed via a minilaparotomy incision. Conclusion The microcatheter trocar is a useful and novel alternative in patients who cannot tolerate increases in intraabdominal pressure.
- Subjects :
- medicine.medical_specialty
Catheters
Adolescent
Hypertension, Pulmonary
medicine.medical_treatment
Abdominal cavity
Adnexal mass
Cystectomy
Humans
Minimally Invasive Surgical Procedures
Medicine
Laparoscopy
Laparotomy
medicine.diagnostic_test
Cysts
business.industry
Right adnexa
Ultrasound
General Medicine
Fallopian Tube Diseases
medicine.disease
Pulmonary hypertension
Surgery
medicine.anatomical_structure
Fluid infusion
Pediatrics, Perinatology and Child Health
Female
business
Subjects
Details
- ISSN :
- 00223468
- Volume :
- 47
- Database :
- OpenAIRE
- Journal :
- Journal of Pediatric Surgery
- Accession number :
- edsair.doi.dedup.....f32357d35d0b412d09d37aa6166ecacd