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[Retroperitoneal emphysema during total hip replacement].

Masaki Yamada1, Hirokazu Fukuda, Yoshihiro Hirabayashi

  • 1Department of Anesthesiology, Ito Hospital, Shizuoka 414-0054.

Masui. the Japanese Journal of Anesthesiology
|January 22, 2004
PubMed
Summary

A rare complication of hip replacement surgery, retroperitoneal emphysema, occurred after acetabular roof cracking. The patient recovered well with conservative management, highlighting the importance of monitoring post-operative symptoms.

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Area of Science:

  • Anesthesiology
  • Orthopedic Surgery
  • Surgical Complications

Background:

  • Rheumatic arthritis patient underwent total hip replacement under combined spinal and epidural anesthesia.
  • Intraoperative acetabular roof fracture occurred during reaming, initially asymptomatic.

Observation:

  • Patient reported abdominal pain during pulse irrigation.
  • Postoperative abdominal distension was observed.

Findings:

  • Retroperitoneal emphysema was diagnosed postoperatively.
  • The patient was managed conservatively in the ward without further complications.

Implications:

  • This case highlights a rare but potential complication of acetabular reaming during hip surgery.

Related Experiment Videos

  • Prompt recognition and conservative management can lead to favorable outcomes.
  • Awareness of this complication is crucial for surgical teams performing hip arthroplasty.