obesity, laparoscopic surgery, fluid therapy, solutions

Laparoscopic Surgery for Morbid Obesity

Laparoscopic Surgery for Morbid Obesity

Obesity was identified as a disease thirty years ago when, the WHO listed obesity as a disease condition in its International Classification of Diseases in 1979. The prevalence of obesity, and especially of morbid obesity, is increasing worldwide and it is today becoming a significant health hazard. Indeed, obesity rates have now reached epidemic proportions in the western hemisphere, with over...

Efficacy of intravenous fluid warming during goal-directed fluid therapy in patients undergoing laparoscopic colorectal surgery: a randomized controlled trial

OBJECTIVE To evaluate the clinical efficacy of intravenous (IV) fluid warming in patients undergoing laparoscopic colorectal surgery. METHODS Adult patients undergoing laparoscopic colorectal surgery were randomly assigned to receive either IV fluids at room temperature (control group) or warmed IV fluids (warm fluids group). Each patient received a standardized goal-directed fluid regimen ba...

Dynamic variables of fluid responsiveness during pneumoperitoneum and laparoscopic surgery.

BACKGROUND Few data exist on dynamic variables predicting fluid responsiveness during laparoscopic surgery. The aim of this study was to explore the effects of laparoscopy on four dynamic variables: respiratory variations in pulse pressure (ΔPP), stroke volume variation by Vigileo/FloTrac (SVV (Vigileo) ), pleth variability index (PVI) and respiratory variations in pulse oximetry plethysmograph...

Contamination Resulting From Aerosolized Fluid During Laparoscopic Surgery

BACKGROUND AND OBJECTIVES Aerosolized droplets of blood can travel considerable distances on release of intra-abdominal pressure during laparoscopic surgery. This creates an environmental hazard for members of the surgical team. This study describes and provides a method of measurement of aerosolized blood contamination during evacuation of the pneumoperitoneum in laparoscopic surgery. METHOD...