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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...

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Detalles Bibliográficos
Autores principales: Sindani, Martin, Lugwaja, Paul William Itule, Ngowi, Novath
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
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.
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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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