Letter: Laparoscopy explosion hazards with nitrous oxide
- PMID: 126105
- PMCID: PMC1674624
- DOI: 10.1136/bmj.3.5986.764-a
Letter: Laparoscopy explosion hazards with nitrous oxide
Abstract
PIP: Carbon dioxide was previously used as the inflating gas during laparoscopic sterilization. It has been largely replaced by nitrous oxide because the carbon dioxide caused undesirable side effects following absorption. Nitrous oxide will support combustion when mixed with hydrogen and/or methane. Both these gases are present in sufficient proportion in intestinal gas. The temperature at diathermy electrodes is higher than necessary to support an explosion of the surrounding gas mixture. Xenon is another gas which could be used as a laparoscopy inflating gas, but it is much more expensive than nitrous oxide or carbon dioxide. Due to the danger of explosion with nitrous oxide, the use of carbon dioxide is recommended.
Similar articles
-
Use of mixed gas pneumoperitoneum during minimally invasive surgery: a systematic review of human and mouse modelled laparoscopic interventions.J Robot Surg. 2024 May 17;18(1):215. doi: 10.1007/s11701-024-01971-1. J Robot Surg. 2024. PMID: 38758349 Free PMC article.
-
Letter: Laparoscopy explosion hazards with nitrous oxide.Br Med J. 1976 Feb 14;1(6006):397. doi: 10.1136/bmj.1.6006.397. Br Med J. 1976. PMID: 129188 Free PMC article.
-
Letter: Laparoscopy explosion hazards with nitrous oxide.Br Med J. 1975 Nov 1;4(5991):288. doi: 10.1136/bmj.4.5991.288-b. Br Med J. 1975. PMID: 127642 Free PMC article. No abstract available.
-
Letter: Laparoscopy explosion hazards with nitrous oxide.Br Med J. 1976 May 22;1(6020):1277. doi: 10.1136/bmj.1.6020.1277. Br Med J. 1976. PMID: 131599 Free PMC article.
-
Helium insufflation in laparoscopic surgery.Endosc Surg Allied Technol. 1995 Aug;3(4):183-6. Endosc Surg Allied Technol. 1995. PMID: 8846034 Review.
Cited by
-
A mixture of 86% of CO2, 10% of N2O, and 4% of oxygen permits laparoscopy under local anesthesia: a pilot study.Gynecol Surg. 2015;12(1):57-60. doi: 10.1007/s10397-014-0872-2. Epub 2014 Dec 14. Gynecol Surg. 2015. PMID: 25774121 Free PMC article.
-
Use of mixed gas pneumoperitoneum during minimally invasive surgery: a systematic review of human and mouse modelled laparoscopic interventions.J Robot Surg. 2024 May 17;18(1):215. doi: 10.1007/s11701-024-01971-1. J Robot Surg. 2024. PMID: 38758349 Free PMC article.
-
Peritoneal full-conditioning reduces postoperative adhesions and pain: a randomised controlled trial in deep endometriosis surgery.J Ovarian Res. 2013 Dec 11;6(1):90. doi: 10.1186/1757-2215-6-90. J Ovarian Res. 2013. PMID: 24326155 Free PMC article.
-
Electrosurgery ignition of a pneumoperitoneum secondary to prior spontaneous perforation of the small bowel: a cautionary tale.Ann R Coll Surg Engl. 2012 Mar;94(2):e70-1. doi: 10.1308/003588412X13171221502301. Ann R Coll Surg Engl. 2012. PMID: 22391355 Free PMC article.
-
Gas exchange in abdominal cavity during laparoscopy.J R Soc Med. 1983 Dec;76(12):1015-8. doi: 10.1177/014107688307601207. J R Soc Med. 1983. PMID: 6231377 Free PMC article.
References
MeSH terms
Substances
LinkOut - more resources
Full Text Sources