Which intraperitoneal insufflation pressure should be used for less postoperative pain in transperitoneal laparoscopic urologic surgeries?
Int. braz. j. urol
; 43(3): 518-524, May.-June 2017. tab
Article
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| LILACS
| ID: biblio-840851
Responsible library:
BR1.1
ABSTRACT
ABSTRACT Purpose To determine whether using different intraperitoneal insufflation pressures for transperitoneal laparoscopic urologic surgeries decreases postoperative pain. Materials and Methods 76 patients who underwent transperitoneal laparoscopic upper urinary tract surgery at different insufflation pressures were allocated into the following groups 10mmHg (group I, n=24), 12mmHg (group II, n=25) and 14mmHg (group III, n=27). These patients were compared according to age, gender, body mass index (BMI), type and duration of surgery, intraoperative bleeding volume, postoperative pain score and length of hospital stay. A visual analog scale (VAS) was used for postoperative pain. Results Demographic characteristics, mean age, gender, BMI and type of surgeries were statistically similar among the groups. The mean operation time was higher in group I than group II and group III but this was not statistically significant (P=0.810). The mean intraoperative bleeding volume was significantly higher in group I compared with group II and group III (P=0.030 and P=0.006). The mean length of postoperative hospital stays was statistically similar among the groups (P=0.849). The mean VAS score at 6h was significantly reduced in group I compared with group III (P=0.011). At 12h, the mean VAS score was significantly reduced in group I compared with group II and group III (P=0.009 and P<0.001). There was no significant difference in the mean VAS scores at 24h among three groups (P=0.920). Conclusion Lower insufflation pressures are associated with lower postoperative pain scores in the early postoperative period.
Key words
全文:
1
索引:
LILACS
主要主题:
Pain, Postoperative
/
Pressure
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Urologic Surgical Procedures
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Insufflation
/
Laparoscopy
研究类型:
Etiology_studies
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Observational_studies
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Risk_factors_studies
限制:
Adolescent
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Female
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Humans
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Male
国家/地区名称主题:
Asia
语言:
En
期刊:
Int. braz. j. urol
期刊主题:
UROLOGIA
年:
2017
类型:
Article