No abstract available.
Carbon Dioxide* ; Carbon* ; Insufflation*

No abstract available.
Bradycardia ; Insufflation ; Laparoscopy

No abstract available.
Insufflation ; Sleep Apnea, Obstructive

Endoscopic thyroidectomy is frequently used for cosmetic reasons, such as reducing cervical scarring. Subcutaneous gas insufflation with CO2 is needed to maintain the surgical space, and optimal surgical techniques and careful attention are required when conducting this procedure due to the limited space available for the endoscopic instruments. We report here a case of a tracheal laceration with a tear in the cuff of a reinforced tube, which was detected by an abrupt increase in end-tidal CO2 to 90 mmHg. Reintubation was achieved using a tube exchanger and the patient was effectively ventilated without complications.
Cicatrix ; Cosmetics ; Humans ; Insufflation ; Lacerations ; Thyroidectomy

A case of retroperitoneal teratoma, found in a ten month old female infant was reported. Twenty four hours after the direct retroperitoneal air insufflation, a retrograde pyelography was performed using B.B. 16F. cytoscope. These two studies were essential to make preoperative diagnosis. Review of retroperitoneal tumor was also added.
Diagnosis ; Female ; Humans ; Infant ; Insufflation ; Teratoma* ; Urography

PURPOSE: This study was conducted to evaluate success and perforation rates of pneumatic reduction and to find the predictors of reduction failure. METHODS AND MATERIALS: We reviewed 224 cases of pediatric intussusception diagnosed by air-enema between July, 1989 and June, 1992. The mean age was 9.8 months(range, 1 month to 3 years). Logistic regression analysis was used to find predictors of reduction failure. RESULTS: Successful reduction was achieved in 197 cases(87.9% of success rate). Bowel perforation occurred in two cases(0.9% of perforation rate). There were two statistically significant predictors of failure;(1) ileoileocolic intussusception(p<.001), (2) long duration of symptom(p<.001). Surgery was performed in 26 cases (11.6%), of which seven required bowel resection. CONCLUSION: Pneumatic reduction is a useful means in the management of pediatric intussusception with a high success rate and no mortality.
Child* ; Humans ; Insufflation* ; Intussusception* ; Logistic Models ; Mortality

No abstract available.
Carbon Dioxide* ; Carbon* ; Colonoscopes* ; Insufflation* ; Water*

A barium enema is a diagnostic and therapeutic procedure commonly used for colon and rectum problems. Rectal perforation with extensive intra- and/or extraperitoneal spillage of barium is a devastating complication of a barium enema that leads to a significant increase in patient mortality. Due to the low number of reported cases in recent scientific literature and the lack of experience with the management of these cases, we would like to present our treatment approach to a rare case of retroperitoneal contamination with barium, followed by its intraperitoneal involvement during a diagnostic barium enema. Our experience with long-term management of the patient and the good outcome will be depicted in this paper.
Barium Sulfate ; Barium* ; Colon ; Enema ; Humans ; Insufflation* ; Mortality ; Rectum

BACKGROUND/AIMS: Endoscopic submucosal dissection (ESD) with air insufflation is commonly used for the staging and treatment of early gastric carcinoma. However, carbon dioxide (CO2) use has been shown to cause less post-procedural pain and fewer adverse events. The objective of this study was to compare the post-procedural pain and adverse events associated with CO₂ and air insufflation in ESD. METHODS: A systematic search was conducted for randomized control trials (RCTs) comparing the two approaches in ESD. The Mantel-Haenszel method was used to analyze the data. The mean difference (MD) and odds ratio (OR) were used for continuous and categorical variables, respectively. RESULTS: Four RCTs with a total of 391 patients who underwent ESD were included in our meta-analysis. The difference in maximal post-procedural pain between the two groups was statistically significant (MD, -7.41; 95% confidence interval [CI], -13.6 – -1.21; p=0.020). However, no significant differences were found in the length of procedure, end-tidal CO2, rate of perforation, and postprocedural hemorrhage between the two groups. The incidence of overall adverse events was significantly lower in the CO2 group (OR, 0.51; CI, 0.32–0.84; p=0.007). CONCLUSIONS:: CO2 insufflation in gastric ESD is associated with less post-operative pain and discomfort, and a lower risk of overall adverse events compared with air insufflation.
Carbon Dioxide* ; Carbon* ; Hemorrhage ; Humans ; Incidence ; Insufflation* ; Methods ; Odds Ratio

PURPOSE: We peformed endoscopic thyroidectomy and open thyroidectomy during the same period. In this study, we analyzed the result (merits and demerits) between endoscopic procedure and open procedure. METHODS: From Aug. 2003 to Aug. 2004, each procedure was performed in 92 patients. Conventional open thyroidectomy was underwent in 50 patients and endoscopic thyroidectomy was underwent in 42 patients. We performed the endoscopic thyroidectomy using breast approach. The 2 incisions, which could use 12 mm ports were placed on the areolar area of the breast as a circumferential fashion. The remaining 1 incision, which could use 5 mm port was placed on the right subclavicular area, 3~4 cm below right clavicle. We used 25 degree, a rigid laparoscope with 5 mm Hg of CO2 insufflation pressure. We also compared the results of mean ages and sex ratio, pathologic diagnosis, extent of operation, mean hospital day, mean operation time between open surgery group and endoscopic thyroidectomy group. RESULTS: We found that the mean age in the endoscopic group was younger, inversely the operation time was longer than in the open surgery group significantly (P<0.05). There was no statistically significant difference in the other results between two groups (P>0.05). The endoscopic group in the aspect of cosmetic was satisfactory. CONCLUSION: We could perform the endoscopic thyroidectomy safely and feasibly. The endoscopic surgery was cosmetically satisfactory. We expect it can increase the extent of surgery.
Breast ; Clavicle ; Diagnosis ; Humans ; Insufflation ; Laparoscopes ; Sex Ratio ; Thyroidectomy*