Perioperative Care for Resection of a Giant Ovarian Tumor：The Importance of Preoperative Gradual Drainage of Massive Pleural Effusion and Ascites

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  • 大量胸水・腹水を合併した巨大卵巣腫瘍の周術期管理において術前に緩徐な胸水・腹水ドレナージを行い安全に管理し得た1症例

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Abstract

<p>We present the perioperative care of a giant ovarian tumor accompanied by a large amount of pleural effusion and ascites in a 53-year-old woman. Her right lung severely collapsed, and her mediastinum deviated to the left on admission. At first, 6,140 mL of pleural effusion was drained for seven days, and then 3,200 mL of ascites was drained on the day before the operation. We focused on hypoxemia at the induction of general anesthesia, reexpansion pulmonary edema, and hemodynamic changes during drainage and removal of the tumor. Providing further gradual drainage is essential, especially when the lung collapse is severe.</p>

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