Two cases are presented in which injury to the stomach occurred in association with laparoscopy under general anaesthesia. The common aetiological factor was gastric inflation resulting from I.P.P.V. via mask. Precautionary measures in the anaesthetic induction technique are described.
References
1.
AlexanderG. D., NoeF. E., and BrownE. M. (1969): “Anaesthesia for Pelvic Laparoscopy”, Anesth. Analg. Curr. Res., 48, 14–18.
2.
CalverleyR. K., and JenkinsL. C. (1973): “The Anaesthetic Management of Pelvic Laparoscopy”, Canad. Anaesth. Soc. J., 20, 679–685.
3.
DesmondJ., and GordonR. A. (1970): “Ventilation in Patients Anaesthetized for Laparoscopy”, Canad. Anaesth. Soc. J., 17, 378–387.
4.
KelmanG. R., SwappG. H., SmithI., BenzieR. J., and GordonN. L. M. (1972): “Cardiac Output and Arterial Blood-gas Tension During Laparoscopy”, Brit. J. Anaesth., 44, 1155–1161.
5.
PhillipsJ. M., and KeithL.—Editors (1974): Gynecological Laparoscopy: Principles and Techniques.Stratton Intercontinental Medical Book Corp., New York and London.
6.
ReynoldsR. C., and PaucaA. L. (1973): “Gastric Perforation, an Anesthesia-induced Hazard in Laparoscopy”, Anesthesiology, 38, 84–85.
7.
SmithI., BenzieR. J., GordonN. L. M., KelmanG. R., and SwappG. H. (1971): “Cardiovascular Effects of Peritoneal Insufflation of Carbon Dioxide for Laparoscopy”, Brit. Med. J.3, 410–411.
8.
SteptoeP. C. (1967): Laparoscopy in Gynaecology.Livingstone, Edinburgh and London.
9.
WhitfordJ. H. W., and GunstoneA. J. (1972): “Gastric Perforation: A Hazard of Laparoscopy Under General Anaesthesia”, Brit. J. Anaesth., 44, 94–99.