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Related Experiment Videos

Postoperative pleural effusion caused by dextran.

A Adoni, R Adatto-Levy, P Mogle

    International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
    |January 1, 1980
    PubMed
    Summary
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    Intraperitoneal dextran use in pelvic surgery may lead to pleural effusions in nearly half of patients. These effusions were typically mild and did not require intervention, unlike the control group.

    Area of Science:

    • Gynecology
    • Surgical Complications
    • Pulmonology

    Background:

    • Dextran is a common agent used to prevent intraperitoneal adhesions after pelvic surgery.
    • Postoperative pleural effusions are a potential complication that requires investigation.

    Purpose of the Study:

    • To investigate the incidence of pleural effusions following intraperitoneal dextran instillation during pelvic surgery.
    • To compare the occurrence of pleural effusions in patients receiving dextran versus a control group.

    Main Methods:

    • A cohort of 25 women undergoing laparotomy received intraperitoneal dextran.
    • A control group of 20 women did not receive dextran.
    • Patients were monitored for the development of pleural effusions.

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    Main Results:

    • Nearly half of the women who received intraperitoneal dextran developed pleural effusions.
    • The pleural effusions observed were generally mild and did not necessitate treatment.
    • No pleural effusions were observed in the control group of 20 women.

    Conclusions:

    • Intraperitoneal dextran instillation during pelvic surgery is associated with a significant incidence of mild pleural effusions.
    • The findings suggest a link between dextran use and the development of postoperative pleural effusions.