Hydrothorax as a complication of upper abdominal surgery
Journal Title: Wideochirurgia i Inne Techniki Małoinwazyjne - Year 2006, Vol 1, Issue 2
Abstract
Hydrothorax may appear after operation in patients when pulmonary complications or acute inflammatory process in the abdominal cavity occur. This complication is rare. Drainage of the pleural cavity is also not necessary in every patient. The aim of the study was comparison of frequency of hydrothorax in patients after bariatric operations and patients with normal weight after selected operations in the upper abdomen. The analysis compared: 21 patients after surgical restrictive procedures operated on because of pathologic obesity (BMI >35 kg/m2), 26 patients after splenectomy and 31 patients operated because of perforated gastroduodenal ulcer. Among 21 bariatric patients, hydrothorax was diagnosed in 2 of them (in 1 of 2 persons with pneumonia and in 1 patient after iatrogenic splenectomy in whom subsequently subphrenic hematoma was recognised. Concerning these 3 pulmonary complications, hydrothorax required pleural cavity drainage in 2 of them (66%). None of the 26 patients subjected to splenectomy had hydrothorax diagnosed. Among 31 patients after perforated gastroduodenal ulcer surgery, pneumonia was recognized in 2 of them. In 1 of them liquid in the pleural cavity was present which did not require thorax tube placement. Another patient developed subphrenic abscess and concomitant pleural liquid which also did not demand pleural drainage. Collected data reveal that patients operated on because of pathologic obesity develop hydrothorax requiring pleural drainage more frequently than patients with normal weight subjected to surgery in the upper abdomen.
Authors and Affiliations
Krzysztof Kołomecki, Jacek Cywiński, Jan Bartnicki, Piotr Maciaszczyk
Keywords
Related Articles
- EP ID EP144376
- DOI -
- Views 214
- Downloads 0
Porównanie jakości życia po operacjach laparoskopowych i klasycznych
Wstęp: Stosowane wcześniej powszechnie parametry, opisujące przebieg okresu pooperacyjnego, okazały się nieprecyzyjnym i niepełnym narzędziem w porównywaniu dostępów klasycznego i małoinwazyjnego. Nie zawsze wyniki badań...
Videoscopic procedures in gastrointestinal and endocrine surgery
Laparoscopy was first described by a surgeon from Dresden, George Kelling, but it was 10 years ago when it became a new accepted surgical approach. At the beginning of the nineties of the previous century, many surgeons...
Early results of inguinal hernia repair with Desarda method in 17 patients. A preliminary report
A preferable method of inguinal hernia repair nowadays is the use of mesh graft in tension-free techniques. In the past few years a new technique developed by a surgeon from India, Mohan P. Desarda, was introduced. This...
Laparoscopic cholecystectomy in patient with situs viscerum inversus
Background: Situs viscerum inversus is a genetic defect with an autosomal recessive inheritance occurring in population with the incidence of 1:20 000. The mirror-image anatomy creates some difficulties in performing lap...
Inflammatory reaction assessement in patients after laparoscopic cholecystectomy
Cholelithiasis is one of the most prevalent diseases of the gastrointestinal tract. The present method of treatment of gall stones is the excision of the gall bladder. Laparoscopic cholecystectomy (LC), which started t...