background port site complications following elective surgery are rare and port site infections remain the most common short long term complications. objectives the study was conducted to analyze port site complications occurring in patients undergoing laparoscopic cholecystectomy for symptomatic cholelithiasis. patients and methods ninety patients undergoing laparoscopic cholecystectomy were r...

Pneumoperitoneum is almost always pathognomonic of a perforated abdominal viscus requiring urgent surgical intervention. Spontaneous or non-surgical pneumoperitoneum is a rare clinical condition arising secondary to abdominal, thoracic, gynaecologic or idiopathic causes. In addition to good clinical judgement, an important component in the management process is to rule out other causes of pneum...

conclusions intraperitoneal instillation of ropivacaine is more effective than placebo instillation at early postoperative hours in reducing postoperative abdominal pain after laparoscopic cholecystectomy. results abdominal pain is worse during the first 24 hours after laparoscopic cholecystectomy. after 6 and 12 hours abdominal pain was significantly less in group a compared to group b (p < 0....

BACKGROUND Laparoscopic examination is a useful investigation in the evaluation of infertile women. To perform this test, pneumoperitoneum is required to distend the abdomen, improve visibility and displace the intestines out of the pelvis. Several gases have been used to achieve this purpose including Nitrous Oxide (N2O), Carbondioxide (CO2), Helium, Xenon andAir. STUDY DESIGN AND METHOD Thi...

PURPOSE We hypothesized that regional cerebral oxygen saturation (rSO2) could replace jugular bulb oxygen saturation (SjvO2) in the steep Trendelenburg position under pneumoperitoneum. Therefore, we evaluated the relationship between SjvO2 and rSO2 during laparoscopic surgery. MATERIALS AND METHODS After induction of anesthesia, mechanical ventilation was controlled to increase PaCO2 from 35 ...

Laparoscopic surgery induces a milder inflammatory response than open surgery, however, the precise mechanisms underlying this phenomenon remain to be elucidated. Our previous study demonstrated that stimulation of sensory neurons inhibited hepatic apoptosis and inflammatory responses in rats subjected to hepatic ischemia/reperfusion (I/R). Since carbon dioxide (CO2) has been demonstrated to st...

BACKGROUND Several factors affect the end-tidal carbon dioxide pressure (P(ET)CO(2)) and increase the arterial to end-tidal carbon dioxide pressure gradient (P(a-ET)CO(2)) during general anesthesia. We evaluated the relationship between age and P(a-ET)CO(2) during pneumoperitoneum in the steep Trendelenburg position in patients undergoing robot-assisted laparoscopic prostatectomy (RALP). METH...

BACKGROUND Magnesium is well known to inhibit catecholamine release and attenuate vasopressin-stimulated vasoconstriction. We investigated whether i.v. magnesium sulphate attenuates the haemodynamic stress responses to pneumoperitoneum by changing neurohumoral responses during laparoscopic cholecystectomy. METHODS Thirty-two patients undergoing laparoscopic cholecystectomy were randomly assig...