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...

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Main Authors: Gurpremjit Singh, Ankur Mittal, Vikas Kumar Panwar, Amit Kumar, Harkirat Singh Talwar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
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.
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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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