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Laparoscopic surgery as a minimally invasive technique has shown considerable benefit in terms of patient outcomes. However, major complications have been described, including spontaneous pneumothorax, with a 0.4% incidence. An unusual crisis in laparoscopic surgery – spontaneous bilateral pneumothorax – and an updated literature review are discussed with a view to identify the factors related to...
A pulmonary recruitment maneuver (PRM) can effectively reduce post-laparoscopic shoulder pain (PLSP). However, a high-pressure PRM may cause pulmonary barotrauma. This study aimed to evaluate the efficacy and safety of a PRM using two different maximum inspiratory pressures (40 and 60cmH2O) for reducing PLSP.Patients undergoing gynecologic laparoscopy were randomly allocated to a control group (n=30),...
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