Bilateral otorrhagia after robotically assisted gynecologic surgery in the setting of a reduced Trendelenburg position and low-pressure pneumoperitoneum: A case report and review of the literature Journal Article

   

Authors:	Aloisi, A.; Pesce, J. E.; Paraghamian, S. E.; Chi, D. S.; Rieth, E. F.
Article Title:	Bilateral otorrhagia after robotically assisted gynecologic surgery in the setting of a reduced Trendelenburg position and low-pressure pneumoperitoneum: A case report and review of the literature
Abstract:	Perioperative otorrhagia in association with nonotolaryngologic surgery is rare. The cause is typically attributed to the physiologic derangements associated with the Trendelenburg position and pneumoperitoneum during laparoscopic surgery. The most well-accepted etiology is an increase in arterial and venous pressures causing the rupture of subcutaneous capillaries, although the exact etiology remains unclear. We present the first reported case of bilateral spontaneous otorrhagia associated with robotically assisted laparoscopic surgery involving a reduced Trendelenburg position and low-pressure pneumoperitoneum. Perioperative hypertension, female gender, advanced age, and increased bleeding risk may contribute to the development of this rare complication. © 2017 AAGL
Keywords:	pneumoperitoneum; bloody otorrhea; ear bleeding; perioperative otorrhagia; robotically assisted laparoscopic surgery; spontaneous ear hemorrhage; trendelenburg
Journal Title:	Journal of Minimally Invasive Gynecology
Volume:	24
Issue:	7
ISSN:	1553-4650
Publisher:	Elsevier Inc.
Date Published:	2017-11-01
Start Page:	1229
End Page:	1233
Language:	English
DOI:	10.1016/j.jmig.2017.04.009
PROVIDER:	scopus
PMCID:	PMC5659899
PUBMED:	28461176
DOI/URL:	https://www.scopus.com/inward/record.uri?eid=2-s2.0-85019563995&doi=10.1016%2fj.jmig.2017.04.009&partnerID=40&md5=6ea1de76ea4295079e6e76327e8c6c73
Notes:	Article -- Export Date: 1 December 2017 -- Source: Scopus

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