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Diathermy induced gas explosion during laparotomy: a case report
Diathermy-induced explosions in the gastrointestinal tract can occur during laparotomy and can be fatal. Hydrogen and methane are the most common flammable gases that are produced in the gastrointestinal tract. A 35-year-old male was referred to a tertiary hospital with abdominal pain after being as...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411986/ https://www.ncbi.nlm.nih.gov/pubmed/37564059 http://dx.doi.org/10.1093/jscr/rjad460 |
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author | Sindani, Martin Lugwaja, Paul William Itule Ngowi, Novath |
author_facet | Sindani, Martin Lugwaja, Paul William Itule Ngowi, Novath |
author_sort | Sindani, Martin |
collection | PubMed |
description | Diathermy-induced explosions in the gastrointestinal tract can occur during laparotomy and can be fatal. Hydrogen and methane are the most common flammable gases that are produced in the gastrointestinal tract. A 35-year-old male was referred to a tertiary hospital with abdominal pain after being assaulted and stabbed in the abdomen. He presented with a 2-cm wound in the midline below the xiphoid process and with an omentum protruding through the wound. Explorative laparotomy was done to repair the jejunal perforation, but a gastric blast occurred, making more than half of the gastric pouch non-viable. The operation was converted to a near-total gastrectomy with Roux-en-Y gastrojejunostomy. During open abdominal surgery, fires and explosions can occur. Precautions should be taken during open abdominal surgery to reduce the risk of explosions, such as allowing combustible gases to exit the cavity before using diathermy. |
format | Online Article Text |
id | pubmed-10411986 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-104119862023-08-10 Diathermy induced gas explosion during laparotomy: a case report Sindani, Martin Lugwaja, Paul William Itule Ngowi, Novath J Surg Case Rep Case Report Diathermy-induced explosions in the gastrointestinal tract can occur during laparotomy and can be fatal. Hydrogen and methane are the most common flammable gases that are produced in the gastrointestinal tract. A 35-year-old male was referred to a tertiary hospital with abdominal pain after being assaulted and stabbed in the abdomen. He presented with a 2-cm wound in the midline below the xiphoid process and with an omentum protruding through the wound. Explorative laparotomy was done to repair the jejunal perforation, but a gastric blast occurred, making more than half of the gastric pouch non-viable. The operation was converted to a near-total gastrectomy with Roux-en-Y gastrojejunostomy. During open abdominal surgery, fires and explosions can occur. Precautions should be taken during open abdominal surgery to reduce the risk of explosions, such as allowing combustible gases to exit the cavity before using diathermy. Oxford University Press 2023-08-09 /pmc/articles/PMC10411986/ /pubmed/37564059 http://dx.doi.org/10.1093/jscr/rjad460 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Sindani, Martin Lugwaja, Paul William Itule Ngowi, Novath Diathermy induced gas explosion during laparotomy: a case report |
title | Diathermy induced gas explosion during laparotomy: a case report |
title_full | Diathermy induced gas explosion during laparotomy: a case report |
title_fullStr | Diathermy induced gas explosion during laparotomy: a case report |
title_full_unstemmed | Diathermy induced gas explosion during laparotomy: a case report |
title_short | Diathermy induced gas explosion during laparotomy: a case report |
title_sort | diathermy induced gas explosion during laparotomy: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411986/ https://www.ncbi.nlm.nih.gov/pubmed/37564059 http://dx.doi.org/10.1093/jscr/rjad460 |
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