TY - JOUR
T1 - A Case of Cardiac Tamponade after Laparoscopic Hiatal Hernia Repair
AU - Matsunami, Koshiro
AU - Shibasaki, Susumu
AU - Umeki, Yusuke
AU - Serizawa, Akiko
AU - Nakauchi, Masaya
AU - Akimoto, Shingo
AU - Tanaka, Tsuyoshi
AU - Inaba, Kazuki
AU - Uyama, Ichiro
AU - Suda, Koichi
N1 - Publisher Copyright:
© 2024, The Japanese Society of Gastroenterological Surgery. All rights reserved.
PY - 2024
Y1 - 2024
N2 - A 70-year-old woman visited our hospital with repeated vomiting for about 2 months. After examination, she was diagnosed with type III hiatal hernia and underwent elective laparoscopic hiatal hernia repair. The crus was closed with suture, followed by reinforcement with a prosthetic mesh and circumferential fixation into the diaphragm using a hernia stapler. On the day after surgery, oxygenation decreased, blood pressure dropped rapidly, and tachycardia was observed. Cardiac tamponade was immediately diagnosed and percutaneous cardiocentesis was performed. On postoperative day 18, the patient developed cardiac tamponade again. The patient was discharged from hospital on postoperative day 45 without recurrence. A retrospective review of the surgical video showed that the patient had a medically-induced cardiac tamponade caused by a hernia stapler with mesh fixation. This disease has an extremely high mortality rate, making it important to prevent its onset by use of correct equipment and to respond promptly to any postoperative abnormalities in vital signs.
AB - A 70-year-old woman visited our hospital with repeated vomiting for about 2 months. After examination, she was diagnosed with type III hiatal hernia and underwent elective laparoscopic hiatal hernia repair. The crus was closed with suture, followed by reinforcement with a prosthetic mesh and circumferential fixation into the diaphragm using a hernia stapler. On the day after surgery, oxygenation decreased, blood pressure dropped rapidly, and tachycardia was observed. Cardiac tamponade was immediately diagnosed and percutaneous cardiocentesis was performed. On postoperative day 18, the patient developed cardiac tamponade again. The patient was discharged from hospital on postoperative day 45 without recurrence. A retrospective review of the surgical video showed that the patient had a medically-induced cardiac tamponade caused by a hernia stapler with mesh fixation. This disease has an extremely high mortality rate, making it important to prevent its onset by use of correct equipment and to respond promptly to any postoperative abnormalities in vital signs.
KW - cardiac tamponade
KW - hiatal hernia
KW - laparoscopic surgery
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U2 - 10.5833/jjgs.2022.0113
DO - 10.5833/jjgs.2022.0113
M3 - Article
AN - SCOPUS:85185516137
SN - 0386-9768
VL - 57
SP - 1
EP - 9
JO - Japanese Journal of Gastroenterological Surgery
JF - Japanese Journal of Gastroenterological Surgery
IS - 1
ER -