Low pressure versus standard pressure pneumoperitoneum in laparoscopic cholecystectomy: a comparative study
نویسندگان
چکیده
منابع مشابه
Pain management after laparoscopic cholecystectomy-a randomized prospective trial of low pressure and standard pressure pneumoperitoneum.
BACKGROUND Abdominal pain and shoulder tip pain after laparoscopic cholecystectomy are distressing for the patient. Various causes of this pain are peritoneal stretching and diaphragmatic irritation by high intra-abdominal pressure caused by pneumoperitoneum . We designed a study to compare the post operative pain after laparoscopic cholecystectomy at low pressure (7-8 mm of Hg) and standard pr...
متن کاملRandomized, Prospective Comparison of Post-Operative Pain In Low - Versus High -Pressure Pneumoperitoneum in Laparoscopic Cholecystectomy
Background and Objectives: CO2 insuflation constitutes the commonest means of creating the pneumoperitoneum (PP), but it is attributed to many post-laparoscopic cholecystecomy adverse effects including pain triggering. The aim of this trial was to evaluate the efficacy of low-pressure CO2 PP during laparoscopic cholecystectomy (LC) in reducing the incidence of postoperative pain. Methods: A dou...
متن کاملRandomized trial of low-pressure carbon dioxide-elicited pneumoperitoneum versus abdominal wall lifting for laparoscopic cholecystectomy.
BACKGROUND Two alternative surgical techniques for elective laparoscopic cholecystectomy (LC), low-pressure insufflation of the peritoneal cavity and abdominal wall lifting (AWL), have been developed over time to minimize the disadvantages associated with CO2-elicited pneumoperitoneum. To the best of our knowledge, the 2 methods have seldom been compared as regards their relative advantages and...
متن کاملAttenuation of Intra-Operative Pressure Response to Pneumoperitoneum in Patients Undergoing Laparoscopic Cholecystectomy – A Comparative Study between Dexmedetomidine and Esmolol
Background: Dexmedetomidine is a selective α2-adrenergic receptor agonist which is known to produce sedation, analgesia, and also has sympatholytic, anaesthetic sparing and haemodynamic stabilising properties without significant respiratory depression.Its sympatholytic effect decreases mean arterial pressure and heart rate by reducing norepinephrine release and hence improves haemodynamic stabi...
متن کاملImpact of low-pressure pneumoperitoneum and local anesthetic combination on postoperative pain in patients undergoing laparoscopic cholecystectomy
Objective. Despite the advantages of laparoscopic cholecystectomy (LC), postoperative pain remains a major complaint for many patients. In this study, in patients undergoing LC, the application of LC via incisional bupivacaine and low inflation pressure, alone or combined, and a comparison of the effects on postoperative pain has been purposed. Methods. Patients were randomly assigned into the ...
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ژورنال
عنوان ژورنال: International Surgery Journal
سال: 2020
ISSN: 2349-2902,2349-3305
DOI: 10.18203/2349-2902.isj20201868