کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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6173384 | 1599799 | 2014 | 5 صفحه PDF | دانلود رایگان |
ObjectiveTo determine the effects of different intra-abdominal pressure values on visceral pain following gynecologic laparoscopic surgery in the Trendelenburg position.Study designThis randomized, controlled prospective trial was conducted at a tertiary education hospital and included 150 patients who underwent gynecologic laparoscopy with different abdominal insufflation pressures. There were 54 patients in the 8Â mmHg low pressure group (LPG), 45 in the 12Â mmHg standard pressure group (SPG), and 51 in the 15Â mmHg high pressure group (HPG). We assessed mean age, body mass index (BMI), duration of surgery, analgesic consumption, length of hospital stay, amount of CO2 expended and volume of hemorrhage. Visceral pain and referred visceral pain were assessed 6, 12, and 24Â h postoperatively using a visual analog scale (VAS).ResultsThere was no significant difference in age, BMI, analgesic consumption or length of hospital stay among groups. The mean operative time and total CO2 expended during surgery were higher in the LPG compared with the SPG and HPG. The mean intensity of postoperative pain assessed by the VAS score at 6 and 12Â h was less in the LPG than in the SPG and HPG and was reduced significantly at 12Â h. VAS scores at 24Â h in the LPG and SPG were lower than in the HPG.ConclusionPain is reduced by low insufflation pressure compared with standard and high insufflation pressure following gynecologic laparoscopic surgery in the Trendelenburg position. However, low insufflation pressure may result in longer operation times and increased hemorrhage.
Journal: European Journal of Obstetrics & Gynecology and Reproductive Biology - Volume 182, November 2014, Pages 81-85