McSweeney William T, Kirkby Brian
Department of General Surgery, Caboolture Hospital, Caboolture, QLD, Australia.
Directory of Surgery, Caboolture Hospital, Caboolture, QLD, Australia.
J Surg Case Rep. 2019 Nov 11;2019(11):rjz323. doi: 10.1093/jscr/rjz323. eCollection 2019 Nov.
Fire or combustion occurring during laparotomy is an uncommon and potentially hazardous event that can be precipitated by the use of surgical energy devices in the presence of enteric gases or exogenous materials present in the abdomen such as alcohol. Oxygen necessary for a combustive event can be increased in the setting of a proximal enteric injury and with higher concentrations of inspired oxygen during anaesthesia. We report on a case of combustion on entry to the abdomen using monopolar diathermy during exploratory laparotomy for gastric antral perforation in the presence of alcohol and enteric gases.
剖腹手术期间发生的火灾或燃烧是一种罕见且具有潜在危险的事件，在存在肠内气体或腹部存在的外源性物质（如酒精）的情况下使用手术能量设备可能会引发这种情况。在近端肠损伤以及麻醉期间吸入氧气浓度较高的情况下，燃烧事件所需的氧气可能会增加。我们报告了一例在存在酒精和肠内气体的情况下，对胃窦穿孔进行探查性剖腹手术时，使用单极透热法进入腹腔时发生燃烧的病例。
