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Cardiac arrest: an unexpected complication during laparoscopic bilateral tubal ligation - a rare case report
Z. Kamalak1, N. Köşüş Köşüş2, Ü. İsaoğlu İsaoğlu3,*, E. Ç. Tanrıverdi Tanrıverdi4, N. İsaoğlu İsaoğlu5
1 Buhara Hospital, Obstetrics and Gynecology, Erzurum; 2 Turgut Özal University, Ankara
3 Department of Obstetrics and Gynecology, Sakarya University, Faculty of Medicine, Sakarya
4 Nenehatun Public Hospital, Obstetrics and Gynecology, Erzurum
5 Education and Research Hospital, Anesthesiology and Reanimation, Sakarya (Turkey)
Clin. Exp. Obstet. Gynecol. 2016, 43(3), 441–442; https://doi.org/10.12891/ceog2124.2016
Published: 10 June 2016
Data consistently show that in experienced trained hands, laparoscopic tubal sterilization is safe and highly effective regardless of the approach or occlusive method. The known mortality rate is between four and eight deaths per 100,000 cases and the rate of intraoperative and postoperative major complications is less than 1%. The anesthetic complication rate for laparoscopy is between 0.016% and 0.75%. Carbon dioxide (CO2) pneumoperitoneum effects are still controversial. Here the authors present a case report of patient who suffered from intraoperative cardiac arrest during laparoscopic tubal ligation under general anesthesia. No definite cause has been identified. The authors outline several possible mechanisms that could have been involved and attempt to discuss these events in the face of published reports describing similar complications.
Laparoscopic bilateral tubal ligation