Pneumomediastinum after robotic sacrocolpopexy

Natalie M. Crawford, Sujatha D. Pathi, Marlene M. Corton

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Pneumomediastinum is a rare but potential complication of laparoscopy that is related to insufflation with carbon dioxide gas and may lead to life-threatening complications. Case: A 76-year-old woman underwent robotic sacrocolpopexy to repair posthysterectomy prolapse without any apparent intraoperative complications. Postoperatively, she developed shortness of breath and tachycardia and was found to have subcutaneous emphysema and pneumomediastinum. Conclusion: Pelvic surgeons should understand the risks associated with development of pneumomediastinum as well as associated signs and symptoms. In our case, pneumomediastinum likely developed as carbon dioxide tracked from the peritoneum into the mediastinum during prolonged robotic retroperitoneal surgery. Surgeons should have a low threshold to obtain radiographic tests in the early postoperative period, as close monitoring is essential to manage potentially life-threatening complications such as pneumothorax and cardiac arrest.

Original languageEnglish (US)
Pages (from-to)56-58
Number of pages3
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume20
Issue number1
DOIs
StatePublished - 2014

Fingerprint

Mediastinal Emphysema
Robotics
Carbon Dioxide
Subcutaneous Emphysema
Insufflation
Peritoneum
Prolapse
Intraoperative Complications
Mediastinum
Pneumothorax
Heart Arrest
Postoperative Period
Tachycardia
Dyspnea
Laparoscopy
Signs and Symptoms
Gases
Surgeons

Keywords

  • Pneumomediastinum
  • Robotic surgery
  • Sacrocolpopexy

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Surgery
  • Urology

Cite this

Pneumomediastinum after robotic sacrocolpopexy. / Crawford, Natalie M.; Pathi, Sujatha D.; Corton, Marlene M.

In: Female Pelvic Medicine and Reconstructive Surgery, Vol. 20, No. 1, 2014, p. 56-58.

Research output: Contribution to journalArticle

Crawford, Natalie M. ; Pathi, Sujatha D. ; Corton, Marlene M. / Pneumomediastinum after robotic sacrocolpopexy. In: Female Pelvic Medicine and Reconstructive Surgery. 2014 ; Vol. 20, No. 1. pp. 56-58.
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