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Pneumoperitoneum-Related Circulatory Changes of the Lower Extremities

  • Chapter
The Pathophysiology of Pneumoperitoneum

Abstract

The peritoneal cavity is a virtual space in which there is a hydrostatic pressure known as the intra-abdominal pressure [1]. Under physiological conditions, e.g. physical effort or defecation, intra-abdominal pressure varies considerably. If this pressure increases for pathophysiological or iatrogenic reasons, hemodynamic changes result. These changes may be acute, e.g., hemorrhage, pneumoperitoneum (PNP), or occur gradually, e.g., ascites. In anatomical terms, the causes may be intraperitoneal or retroperitoneal. Two situations are of particular interest to the surgeon, namely the abdominal compartment syndrome and PNP.

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Authors
  1. M. A. Reymond
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  2. Y. Christen
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  3. P. Morel
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  4. F. Köckerling
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Editor information

Editors and Affiliations

  1. Department of Surgery, Mount Sinai Medical Center, One L. Gustave Levy Place, New York, NY, 10029-6574, USA

    Raul J. Rosenthal M.D.

  2. The Mount Sinai Hospital, Mount Sinai School of Medicine, One L. Gustave Place, New York, NY, 10029-6574, USA

    Raul J. Rosenthal M.D.

  3. Department of Surgery, Beth Israel Medical Center, 16th Street and 1st. Ave, New York, NY, 10002, USA

    Richard L. Friedman M.D.

  4. Division of Endoscopic Surg., Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Los Angeles, CA, 90048, USA

    Edward H. Phillips M.D., F.A.C.S.

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© 1998 Springer-Verlag Berlin Heidelberg

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Reymond, M.A., Christen, Y., Morel, P., Köckerling, F. (1998). Pneumoperitoneum-Related Circulatory Changes of the Lower Extremities. In: Rosenthal, R.J., Friedman, R.L., Phillips, E.H. (eds) The Pathophysiology of Pneumoperitoneum. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60290-0_4

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  • DOI: https://doi.org/10.1007/978-3-642-60290-0_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64339-2

  • Online ISBN: 978-3-642-60290-0

  • eBook Packages: Springer Book Archive

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