Gas embolism during VersaPoint hysteroscopic myomectomy

David C. Hunter, David W. Cooper, Graham Phillips
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引用次数: 3

Abstract

To describe a case of gas embolism in association with VersaPoint hysteroscopic myomectomy.

A 40-year-old woman with menorrhagia secondary to uterine fibroids.

Hysteroscopic VersaPoint spring endometrial ablation and submucous myomectomy under general anaesthetic with saline as the distension medium. Intraoperatively an acute and profound drop in the patient's end-tidal carbon dioxide and oxygen saturation suggested gas embolism and the procedure was abandoned. The origin of the gas responsible for the embolism is uncertain.

The VersaPoint spring for endometrial ablation and submucous myomectomy requires further evaluation. Factors which may have contributed to the gas embolism are discussed.

verspoint宫腔镜子宫肌瘤切除术期间的气体栓塞
目的:描述一例与VersaPoint宫腔镜子宫肌瘤切除术相关的气体栓塞。40岁女性,子宫肌瘤继发月经过多。宫腔镜VersaPoint弹簧子宫内膜消融和粘膜下子宫肌瘤切除术在全身麻醉下,生理盐水作为扩张介质。术中,患者潮末二氧化碳和氧饱和度急剧下降,提示有气体栓塞,因此放弃了手术。导致栓塞的气体的来源尚不确定。用于子宫内膜消融和粘膜下肌瘤切除术的verspoint弹簧需要进一步评估。讨论了可能导致气体栓塞的因素。
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