Subcutaneous drain insertion in patients with post-operative extensive subcutaneous surgical emphysema: a single centre experience

Boulemden, Anas; Aifesehi, Paul; Pajaniappane, Arun; Lau, Kelvin; Bajaj, Amrita; Nakas, Apostolos; Waller, David; Rathinam, Sridhar

doi:10.1007/s11748-013-0307-4

Cited by 6 publications

(5 citation statements)

References 7 publications

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“…The finding might provide an important reference for the early identification of extensive subcutaneous emphysema after pulmonary resection by VATS in clinical practice. Kim et al and Boulemden et al also observed that extensive subcutaneous emphysema occurred within 1 and 3 days postoperatively [3,22], respectively, which was consistent with our results. However, there was a difference in the inclusion criteria between these two studies and the present study.…”

Section: Discussionsupporting

confidence: 93%

“…In this present study, the incidence of extensive subcutaneous emphysema after pulmonary resection was 2.05% (89/4339), which is similar to the results of Boulemden et al [ 3 ]. In addition, about 75.58% (65/86) of the cases of extensive subcutaneous emphysema occurred within 1 to 4 days after surgery.…”

Section: Discussionsupporting

confidence: 92%

“…Risk factors for extensive subcutaneous emphysema after pulmonary resection by video-assisted thoracoscopic surgery: a case-control study Extensive subcutaneous emphysema is defined as the entry of air into the subcutaneous space of the chest wall, followed by spread to soft tissues of the upper chest, shoulder, abdomen, neck, head, face, and eyelids, causing distress to the patient, in addition to pneumothorax, pneumomediastinum, pneumoperitoneum, temporary visual impairment, or even respiratory and cardiovascular collapse [3][4][5]. The reported incidence of extensive subcutaneous emphysema after an elective thoracic procedure is approximately 1.96% (21/1069) [3].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Risk factors for extensive subcutaneous emphysema after pulmonary resection by video-assisted thoracoscopic surgery: a case-control study.

Liu¹,

Feng²,

Liu³

2023

Videosurgery and Other Miniinvasive Techniques

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Introduction Extensive subcutaneous emphysema may lead to a significantly prolonged hospital stay, cosmetic problems, and even death without timely treatment. However, the risk factors for it have been poorly studied. Aim To clarify the prevalence and risk factors of extensive subcutaneous emphysema after pulmonary resection by video-assisted thoracoscopic surgery. Material and methods This is a retrospective matched case-control study. A sample of 86 cases and 258 matched controls was recruited from among 4339 patients admitted to the thoracic surgery department from October 2018 to October 2020 in a tertiary teaching hospital in China. Cases were patients who were diagnosed with extensive subcutaneous emphysema after pulmonary resection through video-assisted thoracoscopic surgery. Controls were matched in a ratio of 3 : 1 to the cases based on age and sex. Results In this study, the incidence rate of extensive subcutaneous emphysema was 2.05%, and approximately 75.58% of the cases occurred within 1 to 4 days postoperatively. In univariate analysis, patients with extensive subcutaneous emphysema were also likely to have a significant lower body mass index, worse pulmonary function, greater intraoperative blood loss, longer time of operation, history of lung surgery, wider scope of surgery, and more extensive pleural adhesion. The results of multivariate logistic regression showed that segmentectomy (OR = 3.130, 95% CI: 1.055–9.283, p = 0.040), lobectomy (OR = 4.487, 95% CI: 1.704–11.812, p = 0.002), and extensive pleural adhesion (OR = 4.514, 95% CI: 1.763–11.556, p = 0.002) were independent risk factors. Conclusions Segmentectomy, lobectomy, and extensive pleural adhesions were identified as independent risk factors for extensive subcutaneous emphysema after video-assisted thoracoscopic surgery.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Risk factors for extensive subcutaneous emphysema after pulmonary resection by video-assisted thoracoscopic surgery: a case-control study.

Liu¹,

Feng²,

Liu³

2023

Videosurgery and Other Miniinvasive Techniques

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“…Direct tear caused by the tube was rare. [7][8][9] Intraoperatively, he had normal peak pressures with no episode of desaturation and difficulty in ventilation excluding pneumothorax and above mentioned anesthesia causes. He had smooth induction and extubation excluding SE due to coughing against closed airway.…”

Section: Discussionmentioning

confidence: 95%

Post-operative subcutaneous emphysema- are anesthesiologists always at fault

Srinivasan¹,

Jain²,

Sarna³

2020

IJCA

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Subcutaneous emphysema (SE) following general anesthesia though a rare and benign entity, however if extensive can cause tremendous patient discomfort. Development of post operative SE cannot be simply ignored and may indicate possible grave injuries like injury to the airway that might require prompt recognition and management. We report a rare case of postoperative SE after an emergency laparotomy surgery, secondary to an uncommon iatrogenic cause.

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Long-term survival and symptomatic relief in lower lobe lung volume reduction surgery†

Perikleous

Sharkey

Oey

et al. 2017

European Journal of Cardio-Thoracic Surgery

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Subcutaneous drain insertion in patients with post-operative extensive subcutaneous surgical emphysema: a single centre experience

Abstract: ESE should always be investigated and treated promptly. Early SCD insertion has a valuable role in the management of ESE with improvement of patients' experience.

Cited by 6 publications

References 7 publications

Risk factors for extensive subcutaneous emphysema after pulmonary resection by video-assisted thoracoscopic surgery: a case-control study.

Risk factors for extensive subcutaneous emphysema after pulmonary resection by video-assisted thoracoscopic surgery: a case-control study.

Post-operative subcutaneous emphysema- are anesthesiologists always at fault

Long-term survival and symptomatic relief in lower lobe lung volume reduction surgery†

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