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Ignition of free gas in the peritoneal cavity: an explosive complication
Aadil Mumith1, Justin Thuraisingham, Sivaraman Gurunathan-Mani
1Department of Trauma & Orthopaedics, St. Mary's Hospital, Parkhurst Road, Isle of Wight, Newport PO30 5TG, UK.
Abstract:
We report an extremely rare event where the use of diathermy to enter the peritoneal cavity caused the free gas within it to ignite and consequently burn the surgeon during a standard right hemicolectomy procedure for a caecal perforation. This should be noted as a possible safety concern intraoperatively. We conclude that sharp dissection should always be used initially when entering the peritoneal cavity where free gas is present, cautery can subsequently be used once the free air has escaped.
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