Related Experiment Video
Updated: Aug 29, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
[Retroperitoneal emphysema during total hip replacement]
Masaki Yamada1, Hirokazu Fukuda, Yoshihiro Hirabayashi
1Department of Anesthesiology, Ito Hospital, Shizuoka 414-0054.
Abstract:
A 55-year-old woman with rheumatic arthritis was scheduled for total hip replacement. The procedure was performed under combined spinal and epidural anesthesia. Intraoperatively, the part of acetabular roof was cracked by reaming the region but she did not complain of any symptom. However, during pulse irrigation she complained of abdominal pain. After the operation, abdominal distension was noticed and retroperitoneal emphysema was disclosed. She was managed in a ward without problems postoperatively.
Related Concept Videos
Chronic Obstructive Pulmonary Disease II: Emphysema
Pneumothorax-II
Clinical Manifestations:
Atelectasis II: Pathophysiology
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Pneumothorax II: Pathophysiology
