• Der Anaesthesist · Jan 2014

    Case Reports

    [Rare complication after endoscopic discectomy.]

    • T Hilbert, O Boehm, R Pflugmacher, D C Wirtz, G Baumgarten, and P Knuefermann.
    • Klinik und Poliklinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Deutschland, thilbert@uni-bonn.de.
    • Anaesthesist. 2014 Jan 1;63(1):41-6.

    AbstractSurgical treatment of the lumbar spine is a standard procedure in orthopedic and neurosurgery. After endoscopic discectomy an otherwise healthy patient developed massive dyspnea in combination with severe abdominal pain. Sonography revealed a large volume of free fluid in the abdominal cavity which proved to be surgical irrigation solution after computed tomography (CT) guided puncture. After insertion of a drainage channel fluid could be removed and the patient was transferred to a peripheral ward after a 24 h monitoring period. This review reports on the complications and anesthetic characteristics of percutaneous spinal interventions and presents differential diagnoses of postoperative dyspnea.

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