Abstract

Background: Minimal access surgery in contrast to open surgery has quicker recovery during the postoperative period as well as reduced scores of pain. As a result of increased pressure in the abdominal cavity, laparoscopic surgery has many implications over a range of organ systems as well as their functioning. Laparoscopic surgery due to increased intraabdominal pressure also has many implications on various organ systems and their functioning. To overcome the consequences of increased intrabdominal pressure, a number of trials have been formulated to compare low- versus standard-pressure pneumoperitoneum.
 Aim: The aim of this study was to assess the effectivity of low intraperitoneal pressures v/s standard intraperitoneal pressure during laparoscopic hysterectomies.
 Study Design: Experimental study 
 Materials and Methods: 40 cases with uncomplicated symptomatic benign uterine pathologies who were posted for laparoscopic hysterectomy were selected out of which 20-20 cases were randomized into low and standard pneumoperitoneum groups. 
 Results: In patients in whom low pressure pneumoperitoneum is employed are better recovered in terms of pain than standard pressure pneumoperitoneum. This means hospital stay can be shortened in low pressure pneumoperitoneum groups which will be more economical and comfortable for patients.
 Conclusion: Laparoscopic hysterectomy can be done at 10 mmhg with the benefits of :
 
 Optimum visualization with low pressure
 Reduction in post operative pain helping the patient for early ambulation so that patient will get back to routine work and normal life earlier, it is the main purpose of minimal invasive surgery.

Highlights

  • 1.1 ObjectivesFor laparoscopic surgery, the most suitable intraperitoneal pressure during laparoscopy is still debatable

  • In patients in whom low pressure pneumoperitoneum is employed are better recovered in terms of pain than standard pressure pneumoperitoneum

  • This means hospital stay can be shortened in low pressure pneumoperitoneum groups which will be more economical and comfortable for patients

Read more

Summary

Introduction

1.1 ObjectivesFor laparoscopic surgery, the most suitable intraperitoneal pressure during laparoscopy is still debatable. There have been a few studies which have emphasized on the convenience of using lower pressures, but the effectivity of performing abdominal surgery with low peritoneal pressures needs further evaluation This study compares low with standard pneumoperitoneum during the process of gynecological laparoscopy. Studies done by various authors have concluded that by using low pressures for pnemoperitoneum there could be resultant less pain during the postoperative period and reduced risk of complications which are relared to laparoscopy including pneumothorax, pneumomediastinum, air embolism, arrhythmias and respiratory implications [3,4,5,6,7,8]. As a result of increased pressure in the abdominal cavity, laparoscopic surgery has many implications over a range of organ systems as well as their functioning. Study Design: Experimental study Materials and Methods: 40 cases with uncomplicated symptomatic benign uterine pathologies who were posted for laparoscopic hysterectomy were selected out of which 20-20 cases were

Objectives
Findings
Discussion
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call