Abstract

The transanal approach to performing total mesorectal excision (TME) for both rectal cancer and inflammatory IBD has grown significantly over the last decade. In spite of the known relatively commoner complications associated with this approach to the rectum, the increase in surgical volume allows for evaluation and stratification of less frequent complications such as embolism. We present a review article on the very limited studies available on the incidence of PAE occurring during taTME.

Keywords: Pulmonary Air Embolism; Transanal Total Mesorectal Excision; Refractory Ulcerative Colitis

References

1. Zhang W., et al. “Successful resuscitation after carbon dioxide embolism during laparoscopic-assisted abdominoperineal resection”. Singapore Medical Journal 7 (2005): 347-348.
2. Buchs NC., et al. “Transanal total mesorectal excision: A valid option for rectal cancer?” World Journal of Gastroenterology 41 (2015): 11700-11708.
3. Ratcliffe F., et al. “CO2 embolus: an important complication of TaTME surgery”. Techniques in Coloproctology 1 (2017): 61-62.
4. Donepudi S., et al. “Air embolism complicating gastrointestinal endoscopy: A systematic review”. World Journal of Gastrointestinal Endoscopy 8 (2013): 359-365.
5. Chen N., et al. “Mesenteric air embolism following enteroscopic small bowel tattooing procedure”. Journal of Clinical Imaging Science 2 (2012): 86.
6. Schmandra TC., et al. “Transoesophageal echocardiography shows high risk of gas embolism during laparoscopic hepatic resection under carbon dioxide pneumoperitoneum”. British Journal of Surgery2 (2002): 870-876.
7. Orebaugh SL. “Venous air embolism: clinical and experimental considerations”. Critical Care Medicine8 (1992): 1169-1177.
8. Sharma KC., et al. “Laparoscopic surgery and its potential for medical complications”. Heart Lung1 (1997): 52-64; quiz 65-67.
9. Mirski MA., et al. “Diagnosis and treatment of vascular air embolism”. Anesthesiology1 (2007): 164-177.
10. Xu YQ and JX Zhang. “Clinical study on echocardiography combined with end-tidal CO2 monitoring in preventing the venous air embolism during operative hysteroscopy”. Zhonghua Fu Chan Ke Za Zhi11 (2013): 828-832.
11. Jasudavisius A., et al. “A systematic review of transthoracic and transesophageal echocardiography in non-cardiac surgery: implications for point-of-care ultrasound education in the operating room”. Canadian Journal of Anaesthesia4 (2016): 480-487.
12. Kostadima E and E Zakynthinos. “Pulmonary embolism: pathophysiology, diagnosis, treatment”. Hellenic Journal of Cardiology 2 (2007): 94-107.
13. Becker RC., et al. “Pulmonary embolism: a review of 200 cases with emphasis on pathophysiology, diagnosis, and treatment”. Cleveland Clinic Journal of Medicine 3 (1984): 519-529.
14. van Belle A., et al. “Effectiveness of managing suspected pulmonary embolism using an algorithm combining clinical probability, D-dimer testing, and computed tomography”. JAMA 2 (2006): 172-179.
15. Wells PS., et al. “Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer”. Annals of Internal Medicine 2 (2001): 98-107.

Citation

Citation: Abdul Waheed., et al. “Pulmonary Air Embolism (PAE): Complication during TaTME is a Cause for Concern”. Acta Scientific Gastrointestinal Disorders 4.2 (2021): 03-05.

Copyright

Copyright: © 2021 Abdul Waheed., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.