A condition with trapped gas or air in the PERITONEAL CAVITY, usually secondary to perforation of the internal organs such as the LUNG and the GASTROINTESTINAL TRACT, or to recent surgery. Pneumoperitoneum may be purposely introduced to aid radiological examination.
Deliberate introduction of air into the peritoneal cavity.
The act of blowing a powder, vapor, or gas into any body cavity for experimental, diagnostic, or therapeutic purposes.
Pathological or accidental introduction of air into the retroperitoneal space.
A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.
A condition characterized by the presence of multiple gas-filled cysts in the intestinal wall, the submucosa and/or subserosa of the INTESTINE. The majority of the cysts are found in the JEJUNUM and the ILEUM.
A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals.
Opening or penetration through the wall of the INTESTINES.
Excision of the gallbladder through an abdominal incision using a laparoscope.
Bursting of the STOMACH.
A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Sharp instruments used for puncturing or suturing.
A congenital abnormality characterized by the elevation of the DIAPHRAGM dome. It is the result of a thinned diaphragmatic muscle and injured PHRENIC NERVE, allowing the intra-abdominal viscera to push the diaphragm upward against the LUNG.
Radiographic visualization of the body between the thorax and the pelvis, i.e., within the peritoneal cavity.
Pathological processes consisting of the union of the opposing surfaces of a wound.
Helium. A noble gas with the atomic symbol He, atomic number 2, and atomic weight 4.003. It is a colorless, odorless, tasteless gas that is not combustible and does not support combustion. It was first detected in the sun and is now obtained from natural gas. Medically it is used as a diluent for other gases, being especially useful with oxygen in the treatment of certain cases of respiratory obstruction, and as a vehicle for general anesthetics. (Dorland, 27th ed)
The region in the abdomen extending from the thoracic DIAPHRAGM to the plane of the superior pelvic aperture (pelvic inlet). The abdominal cavity contains the PERITONEUM and abdominal VISCERA, as well as the extraperitoneal space which includes the RETROPERITONEAL SPACE.
Presence of air in the mediastinal tissues due to leakage of air from the tracheobronchial tree, usually as a result of trauma.
The period during a surgical operation.
Endoscopic surgical procedures performed with visualization via video transmission. When real-time video is combined interactively with prior CT scans or MRI images, this is called image-guided surgery (see SURGERY, COMPUTER-ASSISTED).
Incision into the side of the abdomen between the ribs and pelvis.
An accumulation of PUS in the uterine cavity (UTERUS). Pyometra generally indicates the presence of infections.
That portion of the body that lies between the THORAX and the PELVIS.
The capability of the LUNGS to distend under pressure as measured by pulmonary volume change per unit pressure change. While not a complete description of the pressure-volume properties of the lung, it is nevertheless useful in practice as a measure of the comparative stiffness of the lung. (From Best & Taylor's Physiological Basis of Medical Practice, 12th ed, p562)
A clinical syndrome with acute abdominal pain that is severe, localized, and rapid in onset. Acute abdomen may be caused by a variety of disorders, injuries, or diseases.

Influence of increased abdominal pressure on steady-state cardiac performance. (1/100)

The effect of steady-state increases in abdominal pressure (Pab) on cardiac performance was studied in seven acutely instrumented swine with pneumoperitoneum (PP). The animal was placed on volume-preset ventilation, and PP was created by air insufflation. Cardiac output (CO), right atrial (Pra), left atrial (Pla), pericardial (Ppe), and abdominal inferior vena cava pressures (Pivc) were measured while Pab was increased from baseline to 7.5, 15, and 30 mmHg (PP7.5, PP15, and PP30, respectively). Cardiac function curves of the right and left ventricle (RV and LV, respectively) were compared between baseline and PP30. CO presented biphasic changes, with an inital slight increase at PP7.5 followed by a fall at PP30. A significant discrepancy was observed between Pra and Pivc at PP15 and PP30, consistent with development of a "vascular waterfall." Transmural Pla (Pla - Ppe) showed parallel changes with CO, whereas transmural Pra (Pra - Ppe) exhibited a sustained increase. The RV cardiac-function curve was more depressed than was that of the LV at PP30; this suggests an increased RV afterload produced by the elevated airway pressure. These results support the hypothesis that our previously proposed concept of abdominal vascular zone conditions (M. Takata, R. A. Wise, and J. L. Robotham. J. Appl. Physiol. 69: 1961-1972, 1990) is also applicable to steady-state hemodynamic analyses. The abdominal zones appear to play an important role in determining CO, with increases in Pab, by modulating systemic venous return and the LV preload. Simultaneous measurements of Pra and Pivc may provide useful information in the hemodynamic care of patients with elevated Pab.  (+info)

Pneumatosis [correction of Pneumocystis] cystoides intestinalis with pneumoperitoneum and pneumoretroperitoneum in a patient with extensive chronic graft-versus-host disease. (2/100)

Pneumatosis cystoides intestinalis is a rare finding of intramural gasfilled cysts in the bowel wall and sometimes free air in the abdomen. A few conditions are reported to cause this disease, one of them being immunosuppression. We describe a 50-year-old Caucasian male with extensive chronic graft-versus-host disease (GVHD) of the gut and skin who developed PCI with pneumoperitoneum and pneumoretroperitoneum. To our knowledge, this is the first report of PCI occurring in a patient with active chronic GVHD which resolved spontaneously.  (+info)

Arterial to end-tidal carbon dioxide pressure difference during laparoscopic surgery in pregnancy. (3/100)

BACKGROUND: There is controversy about whether capnography is adequate to monitor pulmonary ventilation to reduce the risk of significant respiratory acidosis in pregnant patients undergoing laparoscopic surgery. In this prospective study, changes in arterial to end-tidal carbon dioxide pressure difference (PaCO2--PetCO2), induced by carbon dioxide pneumoperitoneum, were determined in pregnant patients undergoing laparoscopic cholecystectomy. METHODS: Eight pregnant women underwent general anesthesia at 17-30 weeks of gestation. Carbon dioxide pnueumoperitoneum was initiated after obtaining arterial blood for gas analysis. Pulmonary ventilation was adjusted to maintain PetCO2 around 32 mmHg during the procedure. Arterial blood gas analysis was performed during insufflation, after the termination of insufflation, after extubation, and in the postoperative period. RESULTS: The mean +/- SD for PaCO2--PetCO2 was 2.4 +/- 1.5 before carbon dioxide pneumoperitoneum, 2.6 +/- 1.2 during, and 1.9 +/- 1.4 mmHg after termination of pneumoperitoneum. PaCO2 and pH during pneumoperitoneum were 35 +/- 1.7 mmHg and 7.41 +/- 0.02, respectively. There were no significant differences in either mean PaCO2--PetCO2 or PaCO2 and pH during various phases of laparoscopy. CONCLUSIONS: Capnography is adequate to guide ventilation during laparoscopic surgery in pregnant patients. Respiratory acidosis did not occur when PetCO2 was maintained at 32 mmHg during carbon dioxide pneumoperitoneum.  (+info)

Hypoxaemia induced by CO(2) or helium pneumoperitoneum is a co-factor in adhesion formation in rabbits. (4/100)

A prospective randomized trial in a rabbit model was performed to test the hypothesis that the increase in adhesion formation following prolonged pneumoperitoneum is mediated by peritoneal hypoxaemia. Laparoscopic standardized opposing lesions were performed in uterine horns and pelvic sidewalls by bipolar coagulation and CO(2) laser in six groups of eight animals. Pure CO(2) or helium pneumoperitoneum was used for 10 (groups I and IV) or 45 min (groups II and V) to confirm the effect of duration of pneumoperitoneum and 96% of CO(2) or helium with 4% of oxygen (group III and VI) for 45 min to assess the effect of the addition of oxygen. After 7 days, adhesion formation was scored by laparoscopy. By two-way analysis of variance, total, extent, type and tenacity of adhesion scores increased (P = 0.0003, P = 0.0004, P = 0.0004 and P = 0.004) with increasing duration of pneumoperitoneum and decreased (P = 0.02, P = 0.03, P = 0.01 and P = 0.05) with the addition of oxygen. No differences were found between CO(2) and helium. In conclusion these data confirm the effect of pneumoperitoneum upon adhesions and demonstrate its reduction by oxygen, strongly suggesting that the main cause of adhesion formation is the relatively superficial hypoxaemia produced by the pneumoperitoneum.  (+info)

Pneumatic colonic rupture accompanied by tension pneumoperitoneum. (5/100)

Rupture of the colon caused by high pressure compressed air is a rare, unique and traumatic intra-abdominal injury. As the use of compressed air in industrial work has increased, so has the risk of associated pneumatic injuries from its improper use. Recently we experienced a case of pneumatic rupture of the sigmoid colon accompanied by tension pneumoperitoneum, which caused respiratory distress. The patient's respiration was very rapid with the rate of 44 breaths per minute. On arterial blood gas analysis, pH was 7.40, pO2 68 mmHg, pCO2 44 mmHg, and SaO2 90%. Chest X-ray film showed marked pneumoperitoneum and an elevated diaphragm. The respiratory distress was severe and required immediate relief by emergency decompression peritoneocentesis before surgical intervention consisting of the serosal tear repair, colonic rupture colostomy and abdominal cavity irrigation. A follow up operation 2 months later for colostomy repair completed the patient's recovery.  (+info)

Pneumothorax and pneumoperitoneum during the apnea test: how safe is this procedure? (6/100)

Apnea test is a crucial requirement for determining the diagnosis of brain death (BD). There are few reports considering clinical complications during this procedure. We describe a major complication during performing the apnea test. We also analyse their practical and legal implications, and review the complications of this procedure in the literature. A 54 year-old man was admitted for impaired consciousness due to a massive intracerebral hemorrhage. Six hours later, he had no motor response, and all brainstem reflexes were negative. The patient fulfilled American Academy of Neurology (AAN) criteria for determining BD. During the apnea test, the patient developed pneumothorax, pneumoperitoneum, and finally cardiac arrest. Apnea test is a necessary requirement for the diagnosis of brain death. However, it is not innocuous and caution must be take in particular clinical situations. Complications during the apnea test could be more frequent than reported and may have practical and legal implications. Further prospective studies are necessary to evaluate the frequency and nature of complications during this practice.  (+info)

Pneumoperitoneum following Jacuzzi usage. (7/100)

A 56-year-old woman presented with abdominal pain after using a Jacuzzi hours earlier. Abdominal radiographs revealed intra-peritoneal free gas and, as she presented symptomatically, a laparotomy was performed. This revealed fluid and gas but no visceral perforation or intra-abdominal pathology to account for this. Peritoneal lavage was performed and the patient made an unremarkable recovery. Various causes of pneumoperitoneum have been described in the literature and both conservative and operative treatment recommended. We are unaware of any other reports of Jacuzzi-induced pneumoperitoneum and describe it as an entity to be considered in abdominal pain secondary to the use of similar types of device.  (+info)

Sexual activity as cause for non-surgical pneumoperitoneum. (8/100)

BACKGROUND: Pneumoperitoneum is usually seen after bowel perforations and surgical procedures. An increasing number of cases of non-surgical pneumoperitoneum related to sexual activity has been reported worldwide over the last years. CASE EXAMPLE: A typically young, otherwise healthy woman comes into the emergency department of Stanford University, California, complaining of recurrent chest pain. Free air under the diaphragm disclosed in the X-ray usually leads to intensive, costly and invasive diagnostics sometimes resulting in emergency laparotomy without any results. Finally, after thorough discussion of the sexual history of the patient is taken, vaginal insufflation during sexual activity is revealed as the cause of non-surgical pneumoperitoneum. DISCUSSION: Patients are often unaware of the open access between the vagina and abdomen. Insufflation pressure during vaginal insufflation with >100 mm Hg--used as a diagnostic tool in CO2-pertubation--can dilate genital organs and push remarkable amounts of air into the abdomen. Gas resorption can take up to several days, and the patient often does not connect the pain to its cause. Embarrassment and modesty often prevent the patient from talking about sexual activity. CONCLUSION: Sexual pneumoperitoneum is not a bizarre sex accident but a rare and serious patho-mechanism. In cases of atypical non-surgical pneumoperitoneum in sexually active women, a careful inquiry into the medical-sexual history can reveal the cause of pathophysiology without comprehensive, painful and unnecessary diagnostics. Sexual history as a diagnostic tool should always be considered in unclear cases.  (+info)

Pneumoperitoneum is a medical condition characterized by the presence of free air or gas within the peritoneal cavity, which is the space between the lining of the abdominal wall and the internal organs. This accumulation of air can occur due to various reasons such as perforation of an organ (e.g., stomach, intestine, or esophagus), recent surgery, or medical procedures involving the introduction of air into the abdomen.

The presence of pneumoperitoneum is often diagnosed through imaging techniques like X-rays or computed tomography (CT) scans, which can reveal the presence of free gas in the peritoneal cavity. The condition may require prompt medical attention, depending on the underlying cause and the patient's symptoms. Treatment typically involves addressing the underlying cause, such as repairing a perforation or managing an infection.

Artificial pneumoperitoneum is a medical condition that refers to the presence of air or gas in the peritoneal cavity, which is the space between the lining of the abdominal wall and the organs within the abdomen. This condition is typically created intentionally during surgical procedures, such as laparoscopy, to provide a working space for the surgeon to perform the operation.

During laparoscopic surgery, a thin tube called a trocar is inserted through a small incision in the abdominal wall, and carbon dioxide gas is pumped into the peritoneal cavity to create a pneumoperitoneum. This allows the surgeon to insert specialized instruments through other small incisions and perform the surgery while visualizing the operative field with a camera.

While artificial pneumoperitoneum is generally safe, there are potential complications that can arise, such as injury to surrounding organs or blood vessels during trocar insertion, subcutaneous emphysema (air trapped under the skin), or gas embolism (gas in the bloodstream). These risks are typically minimized through careful technique and monitoring during the procedure.

Insufflation is a medical term that refers to the act of introducing a gas or vapor into a body cavity or passage, typically through a tube or surgical instrument. This procedure is often used in medical and surgical settings for various purposes, such as:

* To administer anesthesia during surgery (e.g., introducing nitrous oxide or other gases into the lungs)
* To introduce medication or other substances into the body (e.g., insufflating steroids into a joint)
* To perform diagnostic procedures (e.g., insufflating air or a contrast agent into the gastrointestinal tract to visualize it with X-rays)
* To clean out a body cavity (e.g., irrigating and insufflating the bladder during urological procedures).

It's important to note that insufflation should be performed under controlled conditions, as there are potential risks associated with introducing gases or vapors into the body, such as barotrauma (damage caused by changes in pressure) and infection.

Retropneumoperitoneum is a medical condition where there is free air present in the retropenitoneal space, which is the area between the parietal peritoneum (the lining of the abdominal wall) and the visceral peritoneum (the lining of the abdominal organs). This accumulation of air can occur due to various reasons such as perforation of an intra-abdominal organ, abdominal trauma, or certain medical procedures. It is often detected on imaging studies like X-ray or CT scan and may require urgent surgical intervention depending on the underlying cause.

Laparoscopy is a surgical procedure that involves the insertion of a laparoscope, which is a thin tube with a light and camera attached to it, through small incisions in the abdomen. This allows the surgeon to view the internal organs without making large incisions. It's commonly used to diagnose and treat various conditions such as endometriosis, ovarian cysts, infertility, and appendicitis. The advantages of laparoscopy over traditional open surgery include smaller incisions, less pain, shorter hospital stays, and quicker recovery times.

Pneumatosis Cystoides Intestinalis (PCI) is a condition characterized by the presence of multiple submucosal or subserosal cystic lesions filled with gas within the wall of the small or large intestine. These gas-filled cysts can also involve the mesentery and serosa of the bowel.

The exact pathogenesis of PCI is not fully understood, but it has been associated with various conditions such as chronic obstructive pulmonary disease (COPD), inflammatory bowel disease (IBD), immunodeficiency disorders, intestinal infection, and following abdominal surgery.

In many cases, PCI may be asymptomatic and discovered incidentally during imaging studies or endoscopy. However, some patients with PCI may present with symptoms such as abdominal pain, diarrhea, bloating, nausea, vomiting, or even bowel obstruction. The diagnosis of PCI is usually made through radiologic imaging studies such as X-ray, CT scan, or MRI.

Treatment of PCI depends on the underlying cause and severity of symptoms. In some cases, no specific treatment may be necessary, while in others, treatment may involve addressing the underlying condition, such as managing IBD or COPD. Surgery may be required in severe cases where there is bowel obstruction, perforation, or ischemia.

Carbon dioxide (CO2) is a colorless, odorless gas that is naturally present in the Earth's atmosphere. It is a normal byproduct of cellular respiration in humans, animals, and plants, and is also produced through the combustion of fossil fuels such as coal, oil, and natural gas.

In medical terms, carbon dioxide is often used as a respiratory stimulant and to maintain the pH balance of blood. It is also used during certain medical procedures, such as laparoscopic surgery, to insufflate (inflate) the abdominal cavity and create a working space for the surgeon.

Elevated levels of carbon dioxide in the body can lead to respiratory acidosis, a condition characterized by an increased concentration of carbon dioxide in the blood and a decrease in pH. This can occur in conditions such as chronic obstructive pulmonary disease (COPD), asthma, or other lung diseases that impair breathing and gas exchange. Symptoms of respiratory acidosis may include shortness of breath, confusion, headache, and in severe cases, coma or death.

Intestinal perforation is a medical condition that refers to a hole or tear in the lining of the intestine. This can occur anywhere along the gastrointestinal tract, including the small intestine, large intestine (colon), or stomach. Intestinal perforation allows the contents of the intestines, such as digestive enzymes and bacteria, to leak into the abdominal cavity, which can lead to a serious inflammatory response known as peritonitis.

Intestinal perforation can be caused by various factors, including:

* Mechanical trauma (e.g., gunshot wounds, stab wounds)
* Inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis)
* Diverticulitis
* Appendicitis
* Intestinal obstruction
* Infections (e.g., typhoid fever, tuberculosis)
* Certain medications (e.g., nonsteroidal anti-inflammatory drugs, corticosteroids)
* Radiation therapy
* Ischemic bowel disease (lack of blood flow to the intestines)

Symptoms of intestinal perforation may include sudden abdominal pain, nausea, vomiting, fever, and decreased bowel movements. Treatment typically involves surgery to repair the perforation and remove any damaged tissue. Antibiotics are also administered to prevent infection. In severe cases, a temporary or permanent colostomy or ileostomy may be necessary.

Laparoscopic cholecystectomy is a surgical procedure to remove the gallbladder using a laparoscope, a thin tube with a camera, which allows the surgeon to view the internal structures on a video monitor. The surgery is performed through several small incisions in the abdomen, rather than a single large incision used in open cholecystectomy. This approach results in less postoperative pain, fewer complications, and shorter recovery time compared to open cholecystectomy.

The procedure is typically indicated for symptomatic gallstones or chronic inflammation of the gallbladder (cholecystitis), which can cause severe abdominal pain, nausea, vomiting, and fever. Laparoscopic cholecystectomy has become the standard of care for gallbladder removal due to its minimally invasive nature and excellent outcomes.

A stomach rupture, also known as gastrointestinal perforation, is a serious and potentially life-threatening condition that occurs when there is a hole or tear in the lining of the stomach. This can allow the contents of the stomach to leak into the abdominal cavity, causing inflammation and infection (peritonitis).

Stomach rupture can be caused by several factors, including trauma, severe gastritis or ulcers, tumors, or certain medical procedures. Symptoms may include sudden and severe abdominal pain, nausea, vomiting, fever, and decreased bowel sounds. If left untreated, stomach rupture can lead to sepsis, organ failure, and even death. Treatment typically involves surgery to repair the perforation and antibiotics to treat any resulting infection.

In medical terms, pressure is defined as the force applied per unit area on an object or body surface. It is often measured in millimeters of mercury (mmHg) in clinical settings. For example, blood pressure is the force exerted by circulating blood on the walls of the arteries and is recorded as two numbers: systolic pressure (when the heart beats and pushes blood out) and diastolic pressure (when the heart rests between beats).

Pressure can also refer to the pressure exerted on a wound or incision to help control bleeding, or the pressure inside the skull or spinal canal. High or low pressure in different body systems can indicate various medical conditions and require appropriate treatment.

In the context of medicine, "needles" are thin, sharp, and typically hollow instruments used in various medical procedures to introduce or remove fluids from the body, administer medications, or perform diagnostic tests. They consist of a small-gauge metal tube with a sharp point on one end and a hub on the other, where a syringe is attached.

There are different types of needles, including:

1. Hypodermic needles: These are used for injections, such as intramuscular (IM), subcutaneous (SC), or intravenous (IV) injections, to deliver medications directly into the body. They come in various sizes and lengths depending on the type of injection and the patient's age and weight.
2. Blood collection needles: These are used for drawing blood samples for diagnostic tests. They have a special vacuum-assisted design that allows them to easily penetrate veins and collect the required amount of blood.
3. Surgical needles: These are used in surgeries for suturing (stitching) wounds or tissues together. They are typically curved and made from stainless steel, with a triangular or reverse cutting point to facilitate easy penetration through tissues.
4. Acupuncture needles: These are thin, solid needles used in traditional Chinese medicine for acupuncture therapy. They are inserted into specific points on the body to stimulate energy flow and promote healing.

It is essential to follow proper infection control procedures when handling and disposing of needles to prevent the spread of bloodborne pathogens and infectious diseases.

Diaphragmatic eventration is a medical condition where the diaphragm, the thin muscle that separates the chest and abdominal cavities and helps with breathing, is abnormally thin and weak. This can cause the diaphragm to move upwards into the chest cavity, which can lead to difficulty breathing and other respiratory symptoms.

In eventration, the affected portion of the diaphragm is usually elevated and may have a transparent or bluish appearance due to the lack of muscle tissue. This condition can be present at birth (congenital) or acquired later in life due to injury or illness.

Mild cases of diaphragmatic eventration may not cause any symptoms and may not require treatment. However, more severe cases may require surgery to repair the damaged diaphragm and improve respiratory function.

Abdominal radiography, also known as a KUB (kidneys, ureters, bladder) X-ray, is a medical imaging technique used to examine the abdominal cavity. It involves using ionizing radiation to produce images of the internal structures of the abdomen, including the bones, organs, and soft tissues.

The procedure typically involves the patient lying down on a table while a specialized X-ray machine captures images of the abdomen from different angles. The images produced can help doctors diagnose and monitor a variety of conditions, such as kidney stones, intestinal obstructions, and abnormalities in the spine or other bones.

Abdominal radiography is a quick, painless, and non-invasive procedure that requires little preparation on the part of the patient. However, it does involve exposure to radiation, so it is typically only used when necessary and when other imaging techniques are not appropriate.

Tissue adhesions, also known as scar tissue adhesions, are abnormal bands of fibrous tissue that form between two or more internal organs, or between organs and the walls of the chest or abdominal cavity. These adhesions can develop after surgery, infection, injury, radiation, or prolonged inflammation. The fibrous bands can cause pain, restrict movement of the organs, and potentially lead to complications such as bowel obstruction. Treatment options for tissue adhesions may include medication, physical therapy, or surgical intervention to remove the adhesions.

Helium is not a medical term, but it's a chemical element with symbol He and atomic number 2. It's a colorless, odorless, tasteless, non-toxic, inert, monatomic gas that heads the noble gases section of the periodic table. In medicine, helium is sometimes used in medical settings for its unique properties, such as being less dense than air, which can help improve the delivery of oxygen to patients with respiratory conditions. For example, heliox, a mixture of helium and oxygen, may be used to reduce the work of breathing in patients with conditions like chronic obstructive pulmonary disease (COPD) or asthma. Additionally, helium is also used in cryogenic medical equipment and in magnetic resonance imaging (MRI) machines to cool the superconducting magnets.

The abdominal cavity is the portion of the abdominothoracic cavity that lies between the diaphragm and the pelvic inlet. It contains the stomach, small intestine, colon, liver, pancreas, spleen, kidneys, adrenal glands, and associated blood vessels and nerves. The abdominal cavity is enclosed by the abdominal wall, which consists of muscles, fascia, and skin. It is divided into several compartments by various membranes, including the peritoneum, a serous membrane that lines the walls of the cavity and covers many of the organs within it. The abdominal cavity provides protection and support for the organs it contains, and also serves as a site for the absorption and digestion of food.

Mediastinal emphysema is a medical condition characterized by the presence of air or gas within the mediastinum, which is the central compartment of the thorax that contains the heart, esophagus, trachea, bronchi, thymus gland, and other associated structures.

In mediastinal emphysema, the air accumulates in the mediastinal tissues and spaces, leading to their abnormal distention or swelling. This condition can result from various causes, including:

* Pulmonary trauma or barotrauma (e.g., mechanical ventilation, scuba diving)
* Infections that cause gas-forming organisms (e.g., pneumomediastinum)
* Air leakage from the lungs or airways (e.g., bronchial rupture, esophageal perforation)
* Certain medical procedures (e.g., mediastinoscopy, tracheostomy)

Mediastinal emphysema can cause symptoms such as chest pain, cough, difficulty breathing, and swallowing problems. In severe cases, it may lead to life-threatening complications, including tension pneumothorax or mediastinitis. Treatment depends on the underlying cause and severity of the condition.

The intraoperative period is the phase of surgical treatment that refers to the time during which the surgery is being performed. It begins when the anesthesia is administered and the patient is prepared for the operation, and it ends when the surgery is completed, the anesthesia is discontinued, and the patient is transferred to the recovery room or intensive care unit (ICU).

During the intraoperative period, the surgical team, including surgeons, anesthesiologists, nurses, and other healthcare professionals, work together to carry out the surgical procedure safely and effectively. The anesthesiologist monitors the patient's vital signs, such as heart rate, blood pressure, oxygen saturation, and body temperature, throughout the surgery to ensure that the patient remains stable and does not experience any complications.

The surgeon performs the operation, using various surgical techniques and instruments to achieve the desired outcome. The surgical team also takes measures to prevent infection, control bleeding, and manage pain during and after the surgery.

Overall, the intraoperative period is a critical phase of surgical treatment that requires close collaboration and communication among members of the healthcare team to ensure the best possible outcomes for the patient.

Video-assisted surgery, also known as video-assisted thoracic surgery (VATS), is a type of minimally invasive surgical procedure that uses a video camera and specialized instruments to perform the operation. A small incision is made in the body, and the surgeon inserts a thin tube with a camera on the end, known as a thoracoscope, into the chest cavity. The camera transmits images of the internal organs onto a video monitor, allowing the surgeon to visualize and perform the surgery. This type of surgery often results in smaller incisions, less pain, and faster recovery times compared to traditional open surgery. It is commonly used for procedures such as lung biopsies, lobectomies, and esophageal surgeries.

A laparotomy is a surgical procedure that involves making an incision in the abdominal wall to gain access to the abdominal cavity. This procedure is typically performed to diagnose and treat various conditions such as abdominal trauma, tumors, infections, or inflammatory diseases. The size of the incision can vary depending on the reason for the surgery and the extent of the condition being treated. Once the procedure is complete, the incision is closed with sutures or staples.

The term "laparotomy" comes from the Greek words "lapara," which means "flank" or "side," and "tome," which means "to cut." Together, they describe the surgical procedure that involves cutting into the abdomen to examine its contents.

Pyometra is a medical condition that primarily affects female animals, including dogs and cats. It refers to an accumulation of pus in the uterus. This can occur as a result of hormonal changes that lead to the uterine lining becoming thickened and providing a favorable environment for bacterial growth.

The condition is often seen in older, intact (not spayed) females, and it can be caused by a variety of bacteria, with E. coli being one of the most common. If left untreated, pyometra can lead to serious complications, such as sepsis, peritonitis (inflammation of the lining of the abdominal cavity), and even death.

Symptoms of pyometra may include vaginal discharge, lethargy, loss of appetite, vomiting, increased thirst and urination, and abdominal pain or distension. Treatment typically involves surgical removal of the uterus (spaying), as well as supportive care such as fluid therapy and antibiotics to treat any resulting infections.

The abdomen refers to the portion of the body that lies between the thorax (chest) and the pelvis. It is a musculo-fascial cavity containing the digestive, urinary, and reproductive organs. The abdominal cavity is divided into several regions and quadrants for medical description and examination purposes. These include the upper and lower abdomen, as well as nine quadrants formed by the intersection of the midline and a horizontal line drawn at the level of the umbilicus (navel).

The major organs located within the abdominal cavity include:

1. Stomach - muscular organ responsible for initial digestion of food
2. Small intestine - long, coiled tube where most nutrient absorption occurs
3. Large intestine - consists of the colon and rectum; absorbs water and stores waste products
4. Liver - largest internal organ, involved in protein synthesis, detoxification, and metabolism
5. Pancreas - secretes digestive enzymes and hormones such as insulin
6. Spleen - filters blood and removes old red blood cells
7. Kidneys - pair of organs responsible for filtering waste products from the blood and producing urine
8. Adrenal glands - sit atop each kidney, produce hormones that regulate metabolism, immune response, and stress response

The abdomen is an essential part of the human body, playing a crucial role in digestion, absorption, and elimination of food and waste materials, as well as various metabolic processes.

Lung compliance is a measure of the ease with which the lungs expand and is defined as the change in lung volume for a given change in transpulmonary pressure. It is often expressed in units of liters per centimeter of water (L/cm H2O). A higher compliance indicates that the lungs are more easily distensible, while a lower compliance suggests that the lungs are stiffer and require more force to expand. Lung compliance can be affected by various conditions such as pulmonary fibrosis, pneumonia, acute respiratory distress syndrome (ARDS), and chronic obstructive pulmonary disease (COPD).

"Acute abdomen" is a medical term used to describe a sudden and severe abdominal pain that requires immediate medical attention. This condition can be caused by various factors such as inflammation, infection, obstruction, or perforation of the abdominal organs. Common causes of acute abdomen include appendicitis, cholecystitis, diverticulitis, intestinal obstruction, and perforated ulcers.

The symptoms of acute abdomen may include severe and localized or generalized abdominal pain, tenderness, rigidity, rebound tenderness, fever, nausea, vomiting, and loss of appetite. The diagnosis of acute abdomen is usually made based on the patient's history, physical examination, laboratory tests, and imaging studies such as X-rays, ultrasound, or CT scan.

Treatment of acute abdomen depends on the underlying cause and may include antibiotics, intravenous fluids, pain management, and surgery in severe cases. Delayed diagnosis and treatment of acute abdomen can lead to serious complications such as sepsis, peritonitis, and even death.

Another pneumoperitoneum on chest X-ray. Pneumoperitoneum seen on X-ray with the patient lying on his left side. Double wall ... A perforated appendix seldom causes a pneumoperitoneum. Spontaneous pneumoperitoneum is a rare case that is not caused by an ... A spontaneous pneumoperitoneum is a rare case that is not caused by an abdominal organ rupture. This is also called an ... Pneumoperitoneum is pneumatosis (abnormal presence of air or other gas) in the peritoneal cavity, a potential space within the ...
The Pathophysiology of Pneumoperitoneum.: 18-27. doi:10.1007/978-3-642-60290-0_3. ISBN 978-3-642-64339-2. Wills, V; Hunt D; ... "Comparison of immunologic and physiologic effects of CO2 pneumoperitoneum at room and body temperatures". Surg Endosc. 13 (6): ... "Electron-microscopic alterations of the peritoneum after both cold and heated carbon dioxide pneumoperitoneum". J Surg Res. 125 ... "Impact of temperature and humidity of carbon dioxide pneumoperitoneum on body temperature and peritoneal morphology". Journal ...
Carbon dioxide is then passed through the Veress needle to inflate the space, creating a pneumoperitoneum. In a large survey of ... A Veress needle or Veres needle is a spring-loaded needle used to create pneumoperitoneum for laparoscopic surgery. Of the ... Raoul Palmer introduced the use of the Veress needle in laparoscopy to establish a pneumoperitoneum. Modern needles are 12 to ... Gould JC, Philip A. Principles and Techniques of Abdominal Access and Physiology of Pneumoperitoneum. In: Ashley SW. Scientific ...
... can best be identified by CT scan.[citation needed] Pneumoperitoneum Jones, Jeremy. " ...
Others include pneumothorax, subcutaneous emphysema, pneumomediastinum, and pneumoperitoneum. Another well-documented ...
"Mason EE, Pneumoperitoneum in the management of giant hernia. Surgery 1956; 39: 143-151". "Nasra Alam, Sunil Narang, et. al, ... Mason started using progressive preoperative pneumoperitoneum (PPP) with his giant hernia patients or pumping air into the ...
Nguyen NT, Wolfe BM (February 2005). "The physiologic effects of pneumoperitoneum in the morbidly obese". Annals of Surgery. ...
Spontaneous pneumoperitoneum: a roentgenologic sign found in the supine position. Radiology 1941; 37: 604-607. "Memorial: Leo G ...
The laparoscopic method, particularly the TAPP repair, first involves creating a pneumoperitoneum. This is typically done using ...
One area of concern related to the LA during pregnancy is pneumoperitoneum. This causes an increase in the intra-abdominal ...
Fertility and sterility, 1990 AA Yuzpe Pneumoperitoneum needle and trocar injuries in laparoscopy. A survey on possible ...
Insufflation was used to create a pneumoperitoneum in order to prevent intra-abdominal bleeding. Kelling and his wife were ...
The cupola sign is seen on a supine chest or abdominal radiograph in the presence of pneumoperitoneum. It refers to dependent ...
CT scan is useful in diagnosing complications of hiatal hernia such as gastric volvulus, perforation, pneumoperitoneum, and ...
Pneumoperitoneum, air or gas in the abdominal cavity, may be an indication of rupture of a hollow organ. In penetrating ...
An X-ray may also be used to reveal a pneumoperitoneum, in which there is gas in the abdomen. An X-ray may also be used to ...
In a series of 73 patients, plain abdominal radiography (56%) showing colic distension in 53% or a pneumoperitoneum in 3%. CT ...
He published a paper on this radiographic phenomenon ("pneumoperitoneum") in 1919 based on a clinical observation he had made ...
Pneumoperitoneum and Roentgenology as Aids to More Accurate Obstetrics and Gynecologic Diagnosis, American Gynecological ... Visualization of the Pelvic Viscera Iodized Oil and Pneumoperitoneum Combined in Gynecology, Radiology v t e (All stub articles ...
Complications from severe vaginal lacerations, such as from an assault, can include hemoperitoneum, pneumoperitoneum, and ...
Pneumomediastinum is the presence of air in the mediastinum, which in some cases can lead to pneumothorax, pneumoperitoneum, ...
Conventional Insufflation Systems for the Management of Pneumoperitoneum in Robotic Partial Nephrectomy ". {{cite journal}}: ... Conventional Insufflation for the Management of Pneumoperitoneum During Robotic Partial Nephrectomy. American Urological ...
... although such X-rays are mainly useful to look for pneumoperitoneum, an indicator of gastrointestinal perforation. The role of ...
Pneumoperitoneum (or peritoneal emphysema) is air or gas in the abdominal cavity, and is most commonly caused by ... air or gas in the mediastinum Also called mediastinal emphysema or pneumatosis/emphysema of the mediastinum Pneumoperitoneum ( ...
... organs via the transabdominal and transvaginal approach and realized that the former required a controlled pneumoperitoneum ...
Malingering Pneumoperitoneum secondary to abdominal trauma Septic miscarriage (See Miscarriage) Complete blood count (CBC) ...
... pneumoperitoneum) Additional laboratory changes (metabolic and respiratory acidosis, disseminated intravascular coagulation) ...
Laparoscopic surgery requires pneumoperitoneum for adequate visualization and operative manipulation. The surgeon has a limited ... The major problems during laparoscopic surgery are related to the cardiopulmonary effect of pneumoperitoneum, systemic carbon ...
These adverse effects include: Pneumothorax Pneumopericardium Pneumoperitoneum Pneumomediastinum Pulmonary interstitial ... These adverse effects include: Pneumothorax Pneumopericardium Pneumoperitoneum Pneumomediastinum Pulmonary interstitial ...
... pneumoperitoneum, bacterial translocation Neurological: hypoxic brain damage Cardiac: abnormal heart rhythms, myocardial ...
  • The football sign is most frequently seen in infants with spontaneous or iatrogenic gastric perforation causing pneumoperitoneum. (wikipedia.org)
  • The most common cause of pneumoperitoneum is the perforation of a hollow viscus, such as in a perforated stomach ulcer (Tanner). (foobrdigital.com)
  • Atypical image of pneumoperitoneum secondary to colon perforation. (bvsalud.org)
  • Pneumoperitoneum: Established through the umbilicus with Veress needle or Hasson cannula or trocar. (slideshare.net)
  • Carbon dioxide gas is introduced into the abdominal cavity to create a pneumoperitoneum, which lifts the abdominal wall away from the organs, providing space for the surgical instruments and clear visualization. (laparoscopyhospital.com)
  • In spite of negative clinical exam, CT of abdomen was ordered, which showed pneumoperitoneum and phlegmonous infiltration of abdominal wall. (hindawi.com)
  • Perforated peptic ulcer Bowel obstruction Ruptured diverticulum Penetrating trauma Ruptured inflammatory bowel disease (e.g., megacolon) Necrotising enterocolitis/pneumatosis coli Bowel cancer Ischemic bowel Steroids After laparotomy After laparoscopy Breakdown of a surgical anastomosis Bowel injury after endoscopy Peritoneal dialysis (PD), although the prevalence of pneumoperitoneum is estimated to be less than 4% among people with PD in a more recent study in the United Kingdom. (wikipedia.org)
  • Causes of a spontaneous pneumoperitoneum, with no peritonitis include a barotrauma due to mechanical ventilation, and a tracheal rupture following an emergency intubation. (wikipedia.org)
  • Indications for operation were bleeding (n = 11), pneumoperitoneum (n = 13), peritonitis (n = 3), and gastric outlet obstruction refractory to medical therapy (n = 2). (nih.gov)
  • Pneumoperitoneum is pneumatosis (abnormal presence of air or other gas) in the peritoneal cavity, a potential space within the abdominal cavity. (wikipedia.org)
  • Methods In this study, 51 animals were divided into four study groups, which respectively underwent abdominal exploration via transgastric NOTES using room air (AIR) or carbon dioxide (CO 2 ) or via laparoscopy (LX) using AIR or CO 2 for pneumoperitoneum. (northwestern.edu)
  • Ultrasound finding of pneumoperitoneum known as "peritoneal stripe sign" As differential diagnoses, a subphrenic abscess, bowel interposed between diaphragm and liver (Chilaiditi syndrome), and linear atelectasis at the base of the lungs can simulate free air under the diaphragm on a chest X-ray. (wikipedia.org)
  • citation needed] Pneumoperitoneum can be described as peritoneal emphysema, just as pneumomediastinum can be called mediastinal emphysema, but pneumoperitoneum is the usual name. (wikipedia.org)
  • The local peritoneal reaction and immunomodulatory influence of pneumoperitoneum agents in NOTES also are not known and may play an important role in altering the physiologic insult induced by NOTES. (northwestern.edu)
  • Pneumoperitoneum is free air within the peritoneal cavity. (foobrdigital.com)
  • On abdominal ultrasound, the most common finding for pneumoperitoneum is the Enhanced Peritoneal Stripe Sign (EPSS) . (foobrdigital.com)
  • BACKGROUND: Recent publications demonstrating the safety and advantages of N 2 O for pneumoperitoneum (PP) prompted us to reconsider N 2 O as an agent for PP in general surgical laparoscopy. (elsevierpure.com)
  • However, the effects of pneumoperitoneum and Trendelenburg position on pulmonary function in laparoscopy have posed particular concerns. (springer.com)
  • Traumatic causes of pneumoperitoneum include iatrogenic injuries or stab wounds. (foobrdigital.com)
  • Spontaneous pneumoperitoneum is a rare case that is not caused by an abdominal organ rupture. (wikipedia.org)
  • We postulate that congenital or post-traumatic adhesions of the parietal peritoneum to the spleen may have been stretched from the splenic capsule during pneumoperitoneum establishment, resulting in subcapsular hematoma and subsequent delayed rupture. (medscape.com)
  • In the mid-twentieth century, an "artificial" pneumoperitoneum was sometimes intentionally administered as a treatment for a hiatal hernia. (wikipedia.org)
  • Pneumoperitoneum seen on X-ray with the patient lying on his left side. (wikipedia.org)
  • If there is a large amount of pneumoperitoneum, your image of abdominal organs will be obscured by gas wherever you place your probe. (foobrdigital.com)
  • Radiographs are useful to exclude other diagnoses such as foreign body ingestion or pneumoperitoneum from a perforated viscus. (appliedradiology.com)
  • Open or Verress needle technique is used to create the pneumoperitoneum. (medicosecuador.com)
  • [ 37 ] The stoma was mobilized with a circular incision, and the glove technique was used to create pneumoperitoneum. (medscape.com)
  • Pneumoperitoneum after diving is a rare symptom. (edu.pl)
  • When present, pneumoperitoneum can often be seen on projectional radiography, but small amounts are often missed, and CT scan is nowadays regarded as a criterion standard in the assessment of a pneumoperitoneum. (wikipedia.org)
  • 1995) Diagnostic pneumoperitoneum accurately predicts the presence of patent proccessus vaginalis. (utah.edu)
  • Furthermore, regardless of which gas was used, the role of the pneumoperitoneum agent did not affect the cytokine profile after NOTES, suggesting that air pneumoperitoneum is adequate for NOTES. (northwestern.edu)
  • Spontaneous pneumoperitoneum is a rare case that is not caused by an abdominal organ rupture. (wikipedia.org)
  • This is also called an idiopathic spontaneous pneumoperitoneum when the cause is not known. (wikipedia.org)
  • Causes of a spontaneous pneumoperitoneum, with no peritonitis include a barotrauma due to mechanical ventilation, and a tracheal rupture following an emergency intubation. (wikipedia.org)
  • The most common cause of a spontaneous pneumoperitoneum is the introduction of air through the female genital tract (see the images below). (medscape.com)
  • A perforated appendix seldom causes a pneumoperitoneum. (wikipedia.org)
  • The exception is a perforated appendix, which seldom causes a pneumoperitoneum. (medscape.com)
  • In laparoscopic cholecystectomy , pneumoperitoneum increases NGAL and cystatin C levels intraoperatively, and the use of low- pressure pneumoperitoneum does not change the course of these biomarkers . (bvsalud.org)
  • Therefore, the aim of the present study was to assess the association between blood remifentanil concentrations measured after pneumoperitoneum and cortisol (CORT) or prolactin (PRL) ratio (intraoperative/preoperative value), in patients undergoing laparoscopic cholecystectomy. (unicatt.it)
  • 17. Laparoscopic herniorrhaphy without pneumoperitoneum. (nih.gov)
  • 18. [Clinical study of gasless laparoscopic adrenalectomy in 17 cases--comparison between laparoscopic adrenalectomy with and without pneumoperitoneum]. (nih.gov)
  • Acute tension pneumothorax and tension pneumoperitoneum in a patient with anorexia nervosa. (nih.gov)
  • The term pneumoperitoneum refers to the presence of air within the peritoneal cavity. (medscape.com)
  • 1918 , O. Goetze, developed an automatic pneumoperitoneum needle characterized for its safe introduction to the peritoneal cavity. (laparoscopyhospital.com)
  • He TZ, Xu C, Ji Y, Sun XY, Liu M. Idiopathic neonatal pneumoperitoneum with favorable outcome: A case report and review. (wjgnet.com)
  • Ultrasound finding of pneumoperitoneum known as "peritoneal stripe sign" As differential diagnoses, a subphrenic abscess, bowel interposed between diaphragm and liver (Chilaiditi syndrome), and linear atelectasis at the base of the lungs can simulate free air under the diaphragm on a chest X-ray. (wikipedia.org)
  • The presence of a pneumoperitoneum does not, however, always imply a perforation, because a number of other (mostly nonsurgical) conditions are associated with pneumoperitoneum. (medscape.com)
  • Benign pneumoperitoneum in newborns: which abdomen to open and which one to observe? (wjgnet.com)
  • It includes an abdomen cover that simulates a pneumoperitoneum. (simulab.com)
  • Pneumoperitoneum in a neonate weighing less than 500 g. (wjgnet.com)
  • The pneumoperitoneum was applied by puncture of umbilical ring. (sages.org)
  • He advocated the use of a separate puncture site for pneumoperitoneum. (laparoscopyhospital.com)
  • At that time the pneumoperitoneum for liver biopsies and diagnosis was produced with air. (contemporaryobgyn.net)
  • When present, pneumoperitoneum can often be seen on projectional radiography, but small amounts are often missed, and CT scan is nowadays regarded as a criterion standard in the assessment of a pneumoperitoneum. (wikipedia.org)
  • citation needed] Pneumoperitoneum can be described as peritoneal emphysema, just as pneumomediastinum can be called mediastinal emphysema, but pneumoperitoneum is the usual name. (wikipedia.org)
  • Another pneumoperitoneum on chest X-ray. (wikipedia.org)
  • Upright chest radiograph shows a large pneumoperitoneum outlining the spleen and the superior surface of the liver. (medscape.com)
  • Intraoperative complications were minor and consisted of loss of pneumoperitoneum in 2 of 14 dogs. (avma.org)
  • Effects of pneumoperitoneum on kidney injury biomarkers: A randomized clinical trial. (bvsalud.org)
  • The football sign is most frequently seen in infants with spontaneous or iatrogenic gastric perforation causing pneumoperitoneum. (wikipedia.org)
  • Pneumoperitoneum may be purposely introduced to aid radiological examination. (nih.gov)
  • Pneumoperitoneum without a ruptured viscus should be suspected when pneumoperitoneum is present without peritoneal signs. (merckmanuals.com)
  • The increased gas pressure caused extravasation of air into the intestine, causing PI with pneumoperitoneum. (psu.edu)
  • Blood samples were withdrawn before anesthesia induction and 5 min after achieving a pneumoperitoneum pressure of 12 mmHg. (unicatt.it)
  • Pneumoperitoneum was produced with CO 2 at a rate of 300 to 500ml/min and the author cautioned that the intra-abdominal pressure should not exceed 25 mmHg. (sls.org)
  • The pressure created by the pneumoperitoneum decreases bleeding and provides a clean operating field. (sls.org)
  • Purpose: The aim of this study is to investigate the effects of carbon dioxide (CO,) pneumoperitoneum on tyrosine hydroxylase (TH) activity and total protein (TP) levels. (gazi.edu.tr)
  • The stress response and hemodynamic changes were compared between the two groups 5 minutes before anesthesia (T1), 30 minutes after pneumoperitoneum (T2), and at the end of the operation (T3). (hindawi.com)
  • Ovarian carcinoma presenting as pneumoperitoneum: report of a case and review of the literature. (nih.gov)

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