Source:http://linkedlifedata.com/resource/pubmed/id/11269558
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2001-3-27
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pubmed:abstractText |
A successful case of a hand-assisted laparoscopic splenectomy with low-pressure pneumoperitoneum for autoimmune thrombocytopenic purpura in a patient at 23 weeks' gestation is reported. Preoperative splenic arterial embolization was performed on the same day as the operation using painless contour embolic material and super-absorbent polymer microspheres. The abdominal wall retraction method first was applied to avoid the effects of pneumoperitoneum on systemic hemodynamic alterations. However, a sufficient surgical view could not be obtained, as the intra-abdominal organs were elevated because of the enlarged uterus. A surgical view with 4 to 6-mm Hg pneumoperitoneum was available for the hand-assisted splenectomy. The postoperative course was uneventful, and the patient vaginally delivered a healthy infant. A hand-assisted laparoscopic splenectomy with low-pressure pneumoperitoneum after splenic arterial embolization would be feasible for patients with autoimmune thrombocytopenic purpura during a relatively advanced pregnancy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
1530-4515
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
11
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
53-6
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:11269558-Adult,
pubmed-meshheading:11269558-Embolization, Therapeutic,
pubmed-meshheading:11269558-Female,
pubmed-meshheading:11269558-Humans,
pubmed-meshheading:11269558-Laparoscopy,
pubmed-meshheading:11269558-Pregnancy,
pubmed-meshheading:11269558-Pregnancy Complications, Hematologic,
pubmed-meshheading:11269558-Purpura, Thrombocytopenic, Idiopathic,
pubmed-meshheading:11269558-Splenectomy,
pubmed-meshheading:11269558-Splenic Artery
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pubmed:year |
2001
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pubmed:articleTitle |
Hand-assisted laparoscopic splenectomy for idiopathic thrombocytopenic purpura during pregnancy.
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pubmed:affiliation |
Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital, Osaka, Japan.
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pubmed:publicationType |
Journal Article,
Case Reports
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