{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:44Z","timestamp":1756339544669,"version":"3.44.0"},"reference-count":18,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,4,18]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>A nulliparous patient in her early 20s was referred to a fertility specialist for fertility preservation, before commencing chemo\u2013radiation therapy for a recently diagnosed malignant brain tumour. Two weeks prior, she had presented with seizures and undergone emergency craniotomy and tumour resection. Taking into consideration of the tight time frame and her comorbidities, several measures were undertaken to minimise the potential increase in intracranial pressure that may lead to cerebral oedema during laparoscopy. Preoperatively, the anaesthetist administered 8\u2009mg dexamethasone as prophylaxis. Intraoperatively, the degree of head-down tilt was minimised to 10, which was just adequate to displace bowel cranially for visualisation of pelvic structures. Finally, a shorter operative time was achieved by ensuring the most senior surgeon performed the operation, and the procedure itself was altered from the standard approach of ovarian harvesting to unilateral oophorectomy. The patient made a quick recovery and was discharged home day 1 postoperatively.<\/jats:p>","DOI":"10.1136\/bcr-2020-240575","type":"journal-article","created":{"date-parts":[[2021,5,12]],"date-time":"2021-05-12T13:15:43Z","timestamp":1620825343000},"page":"e240575","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic gynaecological surgery in the context of maintaining normal intracranial pressure"],"prefix":"10.1136","volume":"14","author":[{"given":"Joyce Shuang","family":"Xiao","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia"},{"name":"Department of Medicine, Box Hill Hospital, Box Hill, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth","family":"Leong","sequence":"additional","affiliation":[{"name":"Epworth Hospital, Richmond, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Meads","sequence":"additional","affiliation":[{"name":"Epworth Hospital, Richmond, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pav","family":"Nanayakkara","sequence":"additional","affiliation":[{"name":"Epworth Hospital, Richmond, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,5,12]]},"reference":[{"key":"2025082710261337000_14.5.e240575.1","doi-asserted-by":"publisher","DOI":"10.1093\/bjaceaccp\/mkh044"},{"key":"2025082710261337000_14.5.e240575.2","first-page":"46","article-title":"Use of dexamethasone in treatment of cerebral edema associated with brain tumors","volume":"81","author":"Galicich","year":"1961","journal-title":"J Lancet"},{"key":"2025082710261337000_14.5.e240575.3","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.30.6.588"},{"key":"2025082710261337000_14.5.e240575.4","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeq249"},{"key":"2025082710261337000_14.5.e240575.5","unstructured":"Molloy BL . Implications for postoperative visual loss: steep Trendelenburg position and effects on intraocular pressure. 79, 2011. www.aana.com\/aanajournalonline.aspx"},{"key":"2025082710261337000_14.5.e240575.6","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/SLE.0b013e31828a0bba","article-title":"Does intraocular pressure increase during laparoscopic surgeries? it depends on anesthetic drugs and the surgical position","volume":"23","author":"Hwang","year":"2013","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2025082710261337000_14.5.e240575.7","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e3181a9098f"},{"key":"2025082710261337000_14.5.e240575.8","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-2919-2"},{"key":"2025082710261337000_14.5.e240575.9","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aew356"},{"key":"2025082710261337000_14.5.e240575.10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2009.01991.x"},{"key":"2025082710261337000_14.5.e240575.11","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1016\/j.juro.2014.10.094","article-title":"The effect of the modified Z Trendelenburg position on intraocular pressure during robotic assisted laparoscopic radical prostatectomy: a randomized, controlled study","volume":"193","author":"Raz","year":"2015","journal-title":"J Urol"},{"key":"2025082710261337000_14.5.e240575.12","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1308\/rcsann.2009.91.6.515b","article-title":"Fat retraction in laparoscopic surgery","volume":"91","author":"Sivagnanam","year":"2009","journal-title":"Ann R Coll Surg Engl"},{"key":"2025082710261337000_14.5.e240575.13","unstructured":"Devlin E , West H , Shalli K . Laparoscopic colorectal surgery in the horizontal position; the use of Endoractor. Br J Surg Suppl Abstr from Int Surg Congr ASGBI, 30 April May 2014, Harrogate, UK Suppl Abstr from Int Surg Congr ASGBI, 30 April May 2014, Harrogate, UK, 2015:256"},{"key":"2025082710261337000_14.5.e240575.14","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1111\/codi.12855","article-title":"Use of the Endoractor\u00ae in laparoscopic colorectal surgery - a video vignette","volume":"17","author":"Peiris","year":"2015","journal-title":"Colorectal Dis"},{"key":"2025082710261337000_14.5.e240575.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2011.04.012"},{"key":"2025082710261337000_14.5.e240575.16","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1001\/jamasurg.2013.3024","article-title":"Effect of abdominal insufflation for laparoscopy on intracranial pressure","volume":"149","author":"Kamine","year":"2014","journal-title":"JAMA Surg"},{"key":"2025082710261337000_14.5.e240575.17","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1111\/ases.12182","article-title":"Laparoscopic Toupet fundoplication using an air seal intelligent flow system and anchor Port in a 1.8-kg infant: a technical report","volume":"8","author":"Miyano","year":"2015","journal-title":"Asian J Endosc Surg"},{"key":"2025082710261337000_14.5.e240575.18","first-page":"213","article-title":"A preventive intervention for rising intraocular pressure: development of the Molloy\/Bridgeport anesthesia associates observation scale","volume":"80","author":"Molloy","year":"2012","journal-title":"Aana J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-240575","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:26:18Z","timestamp":1756315578000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-240575"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":18,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,5,12]]},"published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1136\/bcr-2020-240575"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-240575","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,5]]}}}