2
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Edema pulmonar en cirugía laparoscópica: Presentación de un caso y revisión sistemática de la literatura Translated title: Pulmonary edema in laparoscopic surgery: Case report and systematic review of the literature

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          La cirugía laparoscópica es una técnica que se ha difundido exponencialmente y a la que se le han reconocido muchas bondades. Sin embargo, también se le ha asociado una serie de complicaciones potencialmente serias y no bien estudiadas. Objetivo: describir la frecuencia reportada en la literatura de edema pulmonar en cirugía laparoscópica y en colecistectomía laparoscópica. Metodología: estudio descriptivo de evidencia (revisión sistemática), utilizando las bases de datos Medline (PubMed, NLM), OVID y CINAHL. Dos revisores independientes evaluaron la pertinencia de los artículos, a partir de los resúmenes, y sobre ellos se hizo una revisión en texto completo del nivel de evidencia y la frecuencia de presentación de las complicaciones y específicamente del edema pulmonar. Se describe la mediana de frecuencia informada en la literatura (%), de la presentación del edema pulmonar en cirugía laparoscópica. Resultados: se encontraron 58 artículos (39 en Medline y 19 en OVID) En CINAHL se encontraron 3 que ya se habían encontrado con las estrategias previas. De estos, 2 fueron estudios observacionales analíticos, 13 observacionales descriptivos diferentes a series de caso y reportes de caso y 25 fueron series de casos o reporte de un caso. No se encontraron en texto completo 6 artículos y 12 fueron revisiones no sistemáticas. La frecuencia de presentación de edema pulmonar en cirugía laparoscópica osciló entre 0 y 16,6% Me=1,4% (IC95% 0,19%-2,3%). En muchos de los casos no hubo claridad sobre la causalidad del edema pulmonar y se asoció con el evento más inmediato, precedente. Conclusión: la mayoría de la evidencia disponible es tipo III y IV. Se requieren de estudios de vigilancia posmercadeo (Fase IV) para este tipo de tecnologías. Mientras tanto es relevante dar a conocer a los pacientes sobre la presentación del edema pulmonar como una potencial complicación de la cirugía laparoscópica.

          Translated abstract

          Laparoscopic surgery is a technique that has been popularized in an exponential manner and to which has been recognized many benefits too. However, it has been related with several and potentially serious complications. Objective: to describe the frequency of pulmonary edema in laparoscopic surgery and in laparoscopic cholecystectomy in published studies. Methodology: descriptive study of evidence (systematic review), using the Medline, OVID and CINAHL databases. Two independent reviewers evaluated the relevance of papers from their abstracts and after, the level of evidence and frequency of the event on the paper in full text. The median of frequency (%) in published papers is showed. Results: 58 articles (39 from Medline and 19 from OVID) were found, from these, three papers had been found previously in CINAHL. Two were analytic observational studies, 13 descriptive observational studies (not case series or case reports) and 25 were case series and case reports. 6 papers were not available in full text and 12 were non-systematic reviews. The frequency of pulmonary edema was found to be between 0% and 16.6% in published papers, Median= 1.4% (CI95% 0.19% -2.3%). There was not a clear evidence of causation of pulmonary edema in the evaluated articles, and it was related with the nearest precedent event. Conclusions: level of evidence of the articles was between III and IV. Post-marketing surveys are required (Phase IV studies) for this kind of technology. Whilst, pulmonary edema should be considered as a potential complication of laparoscopic surgery.

          Related collections

          Most cited references60

          • Record: found
          • Abstract: found
          • Article: not found

          Intra-abdominal hypertension in the critically ill: it is time to pay attention.

          There has been an exponentially increasing interest in intra-abdominal hypertension (IAH). Comparison of the published data however is difficult due to the lack of consensus definitions. This review will focus on the available literature from the last 2 years. A Medline and PubMed search was performed using 'intra-abdominal pressure' (IAP), 'intra-abdominal hypertension' (IAH), and 'abdominal compartment syndrome' (ACS) as search items. The aim was to find an answer to the question 'Isn't it time to pay attention to intra-abdominal pressure in the critically ill?' Although the number of studies published on this topic is steadily increasing and confirms the pathophysiologic implications of IAH on end-organ function within and outside the abdominal cavity it remains difficult to compare the literature data because the measurement methods and definitions used are not uniform. Provocative data have been published regarding the interactions between the abdominal and thoracic compartments especially in patients with capillary leak and fluid overload; most of this data raises even more questions than it gives answers and may therefore strengthen the nonbelievers who consider IAP, IAH and ACS as epiphenomena in critically ill patients. Unless the international scientific community does not come forward with clear-cut definitions we will keep comparing 'apples with oranges.' It is time to pay attention to intra-abdominal pressure in the critically ill. It is also time for standardized IAP measurement methods, good consensus definitions and randomized interventional studies.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Anesthetic considerations for bariatric surgery.

              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Complications in hysteroscopy: prevention, treatment and legal risk.

              Fortunately, gynecologists are enthusiastically embracing diagnostic and operative hysteroscopy as a means to evaluate women with menstrual disorders, infertility, post-menopausal bleeding, recurrent pregnancy loss, and for ultrasound images. In general, operative hysteroscopy is a safe procedure, is easily learned, and has excellent surgical outcomes. As more obstetricians/gynecologists perform hysteroscopy, they must remain cognizant about the salient complications. The recognition of complications and prompt intervention will prevent adverse sequelae as well as minimizing undesirable patient outcomes and reducing legal risks. Hysteroscopy remains a relatively safe procedure. Diagnostic hysteroscopy has the fewest risks, followed by operative hysteroscopic adhesiolysis, metroplasty, and myomectomy. Fluid management is critical for intraoperative safety. Meticulous detail should be paid to fluid management, and consultation sought with a critical care specialist when fluid overload or hyponatremia is suspected. Lingering pain, fever, or pelvic discomfort after surgery requires prompt evaluation. Women becoming pregnant after operative hysteroscopic procedures need careful antepartum and intrapartum care. Special attention to unusual pain complaints during pregnancy or with fetal distress in labor need prompt intervention. The preoperative use of misoprostol or laminara decreases the risk of uterine perforation. Expert preoperative evaluation is essential in determining the surgical skill and expertise needed, surgical time, and the likelihood of completing the operative procedure. Overall, complications in operative hysteroscopy are infrequent and are usually easy to manage. This knowledge should help physicians perform more procedures.
                Bookmark

                Author and article information

                Journal
                rcog
                Revista Colombiana de Obstetricia y Ginecología
                Rev Colomb Obstet Ginecol
                Federación Colombiana de Obstetricia y Ginecología; Revista Colombiana de Obstetricia y Ginecología (Bogotá, Cundinamarca, Colombia )
                0034-7434
                2463-0225
                December 2005
                : 56
                : 4
                : 294-302
                Affiliations
                [03] orgnameClinica Vascular Navarra orgdiv1Cirugía General
                [02] orgnameUniversidad Nacional de Colombia orgdiv1Facultad de Medicina
                [01] orgnameUniversidad Nacional de Colombia orgdiv1Facultad de Medicina jheslavas@ 123456unal.edu.co
                Article
                S0034-74342005000400005 S0034-7434(05)05600405
                385ecad8-ad8f-4ee4-bbd2-4d4f0c349ab3

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 62, Pages: 9
                Product

                SciELO Colombia

                Categories
                Investigaciones originales

                pulmonary edema,review,systematic,cholecystectomy,laparoscopic,edema pulmonar,revisión académica,colecistectomía laparoscópica

                Comments

                Comment on this article

                Similar content247

                Most referenced authors470