AirSeal was Useful in Laparoscopic Surgery for Perforated Appendicitis During Pregnancy Article Swipe
YOU?
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· 2020
· Open Access
·
· DOI: https://doi.org/10.4293/crsls.2020.00008
Introduction: Acute appendicitis is the most common general surgical problem during pregnancy.Laparoscopic appendectomy has been gaining widespread popularity and has been accepted as a minimally invasive surgery based on evidence for its use in appendicitis in pregnant patients.However, the gravid uterus in the third trimester and the frequent suction required for abscess drainage make the working space intractable.Case Description: We report a case in which an AirSeal intelligent flow system (ASIFS) (CONMED Corporation, Utica, NY, USA) was useful for laparoscopic appendectomy and abscess drainage for perforated appendicitis in a 31-wk pregnant patient.ASIFS allowed successful maintenance of a working space, thus making it possible to excise the appendix at its base with double ligation and effectively drain the abscess with no maternal and fetal complications.To our knowledge, there have been no reports of the use of ASIFS in a pregnant patient.A past study reported that ASIFS could induce hypothermia compared with a conventional CO 2 supply tube in patients.Although intraoperative hypothermia did not occur in our patient, it would be prudent to carefully avoid frequent suctioning in the short term and to warm the patient intraoperatively because maternal and fetal bodies are susceptible to change in hemodynamics. Conclusion:Surgeons should consider the use of ASIFS before deciding to convert from laparoscopic appendectomy to an open procedure in pregnant patients.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.4293/crsls.2020.00008
- http://crsls.sls.org/wp-content/uploads/2020/04/jls102203829001.pdf
- OA Status
- diamond
- References
- 10
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4289792374
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4289792374Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.4293/crsls.2020.00008Digital Object Identifier
- Title
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AirSeal was Useful in Laparoscopic Surgery for Perforated Appendicitis During PregnancyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2020Year of publication
- Publication date
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2020-01-01Full publication date if available
- Authors
-
Kengo Kai, Takuto Ikeda, Akiko Ichihara, Roko Hamada, Kenzo Nagatomo, Satoshi Matsuzawa, Junko Ushijima, Seishi Furukawa, Hiroshi Sameshima, Atsushi NanashimaList of authors in order
- Landing page
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https://doi.org/10.4293/crsls.2020.00008Publisher landing page
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https://crsls.sls.org/wp-content/uploads/2020/04/jls102203829001.pdfDirect link to full text PDF
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YesWhether a free full text is available
- OA status
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diamondOpen access status per OpenAlex
- OA URL
-
https://crsls.sls.org/wp-content/uploads/2020/04/jls102203829001.pdfDirect OA link when available
- Concepts
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Medicine, Appendicitis, Pregnancy, Laparoscopic surgery, General surgery, Surgery, Obstetrics, Laparoscopy, Genetics, BiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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10Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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