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A massive left-side pneumothorax was identified intraoperatively on the basis of bulging left hemidiaphragm toward the end of an uncomplicated laparoscopic Nissen fundoplication. There were no changes in ventilatory or hemodynamic parameters. The pneumothorax was observed, and nearly total spontaneous resolution occurred in the recovery room within 1 hour.
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Hawasli et al. (2002) studied this question.
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