Background: Cryosurgery is used in orthopaedic oncology as adjuvant treatment after intralesional excision of bone tumors to induce cell death at and beyond the surgical margin. Monitoring freeze/thaw cycles during cryosurgery is beneficial in controlling a cryosurgical procedure and in preventing a
Venous gas embolism during cryosurgery for bone tumors
✍ Scribed by H. W. Bart Schreuder; Herman B. H. Van Beem; René P. H. Veth
- Book ID
- 102437418
- Publisher
- John Wiley and Sons
- Year
- 1995
- Tongue
- English
- Weight
- 371 KB
- Volume
- 60
- Category
- Article
- ISSN
- 0022-4790
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✦ Synopsis
Cryosurgery using liquid nitrogen is a method for treating benign-and low-malignant skeletal tumors. The advantage of preserving the supportive function of bone should be compared to the risk for its complications; postoperative fracture is well known, but less so the occurrence of intraoperative venous gas embolism. This paper describes 17 patients: 2 patients who had serious hemodynamic complications during cryosurgery and a study of 15 patients in whom end-tidal N, tension was measured in an attempt to investigate the clinical incidence of venous gas embolism during cryosurgery. In the 15 cases analyzed, we did not detect any exhaled N, during cryosurgery.
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