Postoperative otorrhagia: an unknown complication of Trendelenburg position during laparoscopic surgery?

Two patients have presented postoperative otorrhagia following gynaecologic laparoscopic procedures. This occurred after uneventful anaesthesia and recovery for surgery performed in forced Trendelenburg position (35 degrees with horizontal position). Different responsible mechanisms are discussed in...

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Bibliographic Details
Published inAnnales françaises d'anesthésie et de réanimation Vol. 20; no. 6; p. 549
Main Authors Aunac, S, Nsengiyumva, J C
Format Journal Article
LanguageFrench
Published France 01.06.2001
Subjects
Adult
Aged
Head-Down Tilt - adverse effects
Head-Down Tilt - physiology
Humans
Laparoscopy
Male
Oral Hemorrhage - etiology
Oral Hemorrhage - physiopathology
Postoperative Complications - etiology
Postoperative Complications - physiopathology
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Summary:Two patients have presented postoperative otorrhagia following gynaecologic laparoscopic procedures. This occurred after uneventful anaesthesia and recovery for surgery performed in forced Trendelenburg position (35 degrees with horizontal position). Different responsible mechanisms are discussed including haemodynamic changes induced by both the Trendelenburg position and the pneumoperitoneum. Particularities of external ear blood supply directly submitted to arterial and venous pressure changes, may also have contributed to the appearance of otorrhagia.
ISSN:0750-7658