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Which intraperitoneal insufflation pressure should be used for less postoperative pain in transperitoneal laparoscopic urologic surgeries?
Akkoc, Ali; Topaktas, Ramazan; Aydin, Cemil; Altin, Selcuk; Girgin, Reha; Yagli, Omer Faruk; Sentürk, Aykut Bugra; Metin, Ahmet.
Afiliação
  • Akkoc, Ali; Gazi Yasargil Training and Research Hospital. Department of Urology. Diyarbakir. TR
  • Topaktas, Ramazan; Gazi Yasargil Training and Research Hospital. Department of Urology. Diyarbakir. TR
  • Aydin, Cemil; Gazi Yasargil Training and Research Hospital. Department of Urology. Diyarbakir. TR
  • Altin, Selcuk; Gazi Yasargil Training and Research Hospital. Department of Urology. Diyarbakir. TR
  • Girgin, Reha; Gazi Yasargil Training and Research Hospital. Department of Urology. Diyarbakir. TR
  • Yagli, Omer Faruk; Gazi Yasargil Training and Research Hospital. Department of Urology. Diyarbakir. TR
  • Sentürk, Aykut Bugra; Gazi Yasargil Training and Research Hospital. Department of Urology. Diyarbakir. TR
  • Metin, Ahmet; Gazi Yasargil Training and Research Hospital. Department of Urology. Diyarbakir. TR
Int. braz. j. urol ; 43(3): 518-524, May.-June 2017. tab
Article em En | LILACS | ID: biblio-840851
Biblioteca responsável: 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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Dor Pós-Operatória / Pressão / Procedimentos Cirúrgicos Urológicos / Insuflação / Laparoscopia Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Female / Humans / Male País/Região como assunto: Asia Idioma: En Revista: Int. braz. j. urol Assunto da revista: UROLOGIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Turquia País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Dor Pós-Operatória / Pressão / Procedimentos Cirúrgicos Urológicos / Insuflação / Laparoscopia Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Female / Humans / Male País/Região como assunto: Asia Idioma: En Revista: Int. braz. j. urol Assunto da revista: UROLOGIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Turquia País de publicação: Brasil