Inner ear barotrauma: A case report of rare post-operative complication following robot-assisted radical prostatectomy
To highlight a rare case of inner ear barotrauma as a post-operative complication following robot-assisted radical prostatectomy (RARP). A 65-year-old man diagnosed with localised prostate carcinoma underwent elective RARP in a steep Trendelenburg position. Postoperatively, the patient complained of...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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Series: | Journal of Minimal Access Surgery |
Subjects: | |
Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=2;spage=310;epage=313;aulast=Singh |
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author | Gurpremjit Singh Ankur Mittal Vikas Kumar Panwar Amit Kumar Harkirat Singh Talwar |
author_facet | Gurpremjit Singh Ankur Mittal Vikas Kumar Panwar Amit Kumar Harkirat Singh Talwar |
author_sort | Gurpremjit Singh |
collection | DOAJ |
description | To highlight a rare case of inner ear barotrauma as a post-operative complication following robot-assisted radical prostatectomy (RARP). A 65-year-old man diagnosed with localised prostate carcinoma underwent elective RARP in a steep Trendelenburg position. Postoperatively, the patient complained of bothersome dizziness and spinning of surroundings associated with nausea. The patient was diagnosed to have vestibular symptoms secondary to inner ear barotrauma. He was started on prochlorperazine 12.5 mg and antibiotics, following which the patient improved. Vestibular rehabilitation exercises were taught to the patient. After 3 days of treatment, the patient did well with no episodes of dizziness. The patient was discharged on tablet cinnarizine 25 mg thrice daily for a week. On follow-up, the patient is asymptomatic. Inner ear barotrauma can be a rare complication of a combination of prolonged steep Trendelenburg during robotic surgery and pneumoperitoneum. Only further reporting of such incidents can help determine predisposing factors and precautions for preventing such incidents. |
first_indexed | 2024-03-12T22:36:16Z |
format | Article |
id | doaj.art-36c1c05817324f2291f249a9a29934a9 |
institution | Directory Open Access Journal |
issn | 0972-9941 1998-3921 |
language | English |
last_indexed | 2024-03-12T22:36:16Z |
publishDate | 2023-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Minimal Access Surgery |
spelling | doaj.art-36c1c05817324f2291f249a9a29934a92023-07-21T11:56:37ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212023-01-0119231031310.4103/jmas.jmas_95_22Inner ear barotrauma: A case report of rare post-operative complication following robot-assisted radical prostatectomyGurpremjit SinghAnkur MittalVikas Kumar PanwarAmit KumarHarkirat Singh TalwarTo highlight a rare case of inner ear barotrauma as a post-operative complication following robot-assisted radical prostatectomy (RARP). A 65-year-old man diagnosed with localised prostate carcinoma underwent elective RARP in a steep Trendelenburg position. Postoperatively, the patient complained of bothersome dizziness and spinning of surroundings associated with nausea. The patient was diagnosed to have vestibular symptoms secondary to inner ear barotrauma. He was started on prochlorperazine 12.5 mg and antibiotics, following which the patient improved. Vestibular rehabilitation exercises were taught to the patient. After 3 days of treatment, the patient did well with no episodes of dizziness. The patient was discharged on tablet cinnarizine 25 mg thrice daily for a week. On follow-up, the patient is asymptomatic. Inner ear barotrauma can be a rare complication of a combination of prolonged steep Trendelenburg during robotic surgery and pneumoperitoneum. Only further reporting of such incidents can help determine predisposing factors and precautions for preventing such incidents.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=2;spage=310;epage=313;aulast=Singhcomplicationsinner ear barotraumarobot-assisted radical prostatectomysteep trendelenburg positionvestibular symptoms |
spellingShingle | Gurpremjit Singh Ankur Mittal Vikas Kumar Panwar Amit Kumar Harkirat Singh Talwar Inner ear barotrauma: A case report of rare post-operative complication following robot-assisted radical prostatectomy Journal of Minimal Access Surgery complications inner ear barotrauma robot-assisted radical prostatectomy steep trendelenburg position vestibular symptoms |
title | Inner ear barotrauma: A case report of rare post-operative complication following robot-assisted radical prostatectomy |
title_full | Inner ear barotrauma: A case report of rare post-operative complication following robot-assisted radical prostatectomy |
title_fullStr | Inner ear barotrauma: A case report of rare post-operative complication following robot-assisted radical prostatectomy |
title_full_unstemmed | Inner ear barotrauma: A case report of rare post-operative complication following robot-assisted radical prostatectomy |
title_short | Inner ear barotrauma: A case report of rare post-operative complication following robot-assisted radical prostatectomy |
title_sort | inner ear barotrauma a case report of rare post operative complication following robot assisted radical prostatectomy |
topic | complications inner ear barotrauma robot-assisted radical prostatectomy steep trendelenburg position vestibular symptoms |
url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=2;spage=310;epage=313;aulast=Singh |
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