Effects of different intra-abdominal pressure values on different organs: what should be the ideal pressure?

Aydin, Hasan Rıza; Kesi̇ci̇, Sevgi; Kesici, Uğur; Sayğın, İsmail; Ulusoy, Hülya; İmamoğlu, Mustafa

doi:10.1007/s10353-014-0271-y

Cited by 3 publications

(5 citation statements)

References 20 publications

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“…Testicular tissue changes we're not observed in short (Aydin et al, 2014) and long-term (Ribeiro et al, 2013) at pressures equal to, or lower than 8 mmHg. A pressure of 6 mmHg may be insufficient to perform minimally invasive procedures in small animals, where an IAP between 8 and 12 mmHg is usually used.…”

Section: Resultsmentioning

confidence: 53%

“…The Studies used pneumoperitoneum produced from abdominal cavity insufflation using carbon dioxide, however this information was not found in Aydin et al (2014). Procedures were performed on pigs after pre-anesthetic medication with ketamine and xylazine, induction with propofol, and maintenance of inhalation anesthesia with the use of sevoflurane (Istanbulluoglu et al, 2011) in rats after general injectable anesthesia with ketamine hydrochloride and xylazine (Aydin et al, 2014;Imamoglu et al, 2013;İmamoğlu et al, 2006;Rifaioglu et al, 2014).…”

Section: Resultsmentioning

confidence: 99%

“…The studies ofİmamoğlu et al (2013) andRibeiro et al (2013) extended the interval between disinflation and sampling time for histological evaluation and oxidative stress. Samples were collected six weeks after pneumoperitoneum exposure, unlike in other studies where material was collected after disinflation(İmamoğluet al, 2006;Aydin et al, 2014;Rifaioglu et al, 2014;Istanbulluoglu et al, 2011).…”

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confidence: 99%

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Pneumoperitoneum effect on testicular oxidative stress and histopathology – Systematic review

Almeida

Milech

Brun

et al. 2021

RSD

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Pneumoperitoneum is characterized by the presence of abdominal cavity gas. Thus, this is used as a tool to create a space in the abdominal cavity for video laparoscopic surgical procedures. However, insufflation of abdominal cavity is capable of causing damage induced by tissue ischemia and reperfusion, which is caused by hypoxia and an imbalance between free radical production and antioxidant defense system capacity. The objective of this study was to bibliographic review the negative effects of exposing healthy animals to different pneumoperitoneum settings by assessing oxidative stress and testicular histopathology, identifying intra-abdominal pressures that did not result in testicular alteration. A systematic search was carried out in three databases using the following terms: pneumoperitoneum AND testi* or gonad. The survey conducted in the databases yielded 2209 scientific articles. After applying inclusion and exclusion criteria, six papers were selected. All the articles selected addressed the effects of pneumoperitoneum on testicular structure and used at least one scoring system to perform histopathological evaluation of the testis. Three studies verified the occurrence of changes in oxidative stress. According to this literature review, pneumoperitoneum used at intra-abdominal pressures equal to, or greater than, 9 mmHg caused testicular histological damage. According to the biomarkers used in studies, pressures greater than 10 mmHg were sufficient to cause testicular oxidative stress.

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Section: Resultsmentioning

confidence: 53%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

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Pneumoperitoneum effect on testicular oxidative stress and histopathology – Systematic review

Almeida

Milech

Brun

et al. 2021

RSD

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“…During hospitalization the patient was treated with nasogastric suction, meropenem, metronidazol, pantoprazole, enoxaparin, furosemide, 20% humane albumin, electrolyte infusion, analgesic therapy, paracetamol, parenteral and enteral nutrition, and dietary modifications. Although retrograde endoscopic cholangiopancreatography (ERCP) can be a therapeutic option in pancreatitis, but also lead to post-ERCP pancreatitis [19], in our case report, ERCP was not indicated regarding the etiology of the disease. Imaging methods did not establish biliary pancreatitis (due to choledocholithiasis), but alcohol-induced acute pancreatitis.…”

Section: Case Presentationmentioning

confidence: 77%

Penoscrotal Edema as a Rare Complication of Acute Pancreatitis: A Case Report

Jukic,

Kokic Males,

Zanic

et al. 2024

Medicina

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Background and Objectives: Scrotal swelling or hydrocele is a rare complication of acute pancreatitis described in the literature. We present a case of penoscrotal swelling caused by the first attack of acute interstitial edematous alcohol-induced pancreatitis in a young male patient. Case report: A 22-year-old man was admitted to the emergency unit due to diarrhea and vomiting since morning which was followed by severe abdominal pain. Urgent abdominal multislice CT scan showed steatosis, pancreatic swelling and acute peripancreatic fluid collection (interstitial edematous pancreatitis). Also, scan showed fluid between small bowel loops and along the anterior renal fascia, while there was minimal amount of fluid in the Douglas space. There was no sign of penoscrotal swelling. On the second day of admission, the patient developed left scrotal swelling and mild pain without erythema. On the fourth day, a control CT scan showed progression to moderately severe pancreatitis (CT severity index 4). Dilated scrotal veins of the pampiniform venous plexus with an increased caliber of the testicular veins were present on both sides, from the scrotum to the level of the inguinal canal. Penoscrotal swelling was significantly reduced on discharge. Conclusions: Penoscrotal swelling is a rare complication or manifestation of acute inflammation of the pancreas. It is important to identify scrotal swelling caused by pancreatitis because in severe cases it can be related to possible infertility in the future.

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“…1 IAP has also been observed during laparoscopic interventions that are widely used nowadays in the diagnosis and treatments of many diseases. 2 Increase in IAP ≥ 20 mmHg leads to progression of abdominal compartment syndrome (ACS) that is associated with organ dysfunction or failure not manifested before the elevation of IAP. 3 Rise in IAP affects dynamic pulmonary compliance, reduces hepatosplanchnic fl ow and impairs liver function, decreases renal blood flow and urine output progressing from oliguria to anuria; causes compression of the inferior vena cava, and decreases cardiac output.…”

Section: Introductionmentioning

confidence: 99%

Biochemical Changes in Experimental Rat Model of Abdominal Compartment Syndrome

et al. 2017

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Background: Increased intra-abdominal pressure (IAP) causes tissue ischemia, subsequent hypoxia, and impairment of normal tissue metabolism. Elevation of IAP above 20 mmHg leads to progression of abdominal compartment syndrome (ACS) that is associated with organ dysfunction or failure not previously manifested. Aim: To evaluate the eff ects of diff erent grades and time of exposure to IAP on biochemical parameters and oxidative stress in organs aff ected by ischemia using previously developed rat model. Results: Three experimental groups exposed to diff erent IAP and time frames were tested for liver, kidney, and pancreas injury by measuring the activities of tissue specifi c enzymes in blood serum. Elevated activities of aspartate aminotransferase, pancreatic amylase, lipase, and higher concentrations of D-lactate, urea, and creatinine were found in some of the experimental groups compared to a control group of animals not subjected to increased IAP. Increased levels of biomarkers of oxidative stress as well as decrease in concentration of the major cellular antioxidant glutathione indicated the presence of oxidative injury as a result of elevated IAP. Conclusions: The developed rat model is appropriate to study the mechanism and manifestation of tissue injury during diff erent grades of elevated IAP but also to test approaches aimed to attenuate the detrimental eff ects of ACS. This study also underlines the necessity of using not a single but a set of biochemical parameters in order to assess the severity of tissue injury during elevated IAP and progression to ACS. BACKGROUND

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Effects of different intra-abdominal pressure values on different organs: what should be the ideal pressure?

Cited by 3 publications

References 20 publications

Pneumoperitoneum effect on testicular oxidative stress and histopathology – Systematic review

Pneumoperitoneum effect on testicular oxidative stress and histopathology – Systematic review

Penoscrotal Edema as a Rare Complication of Acute Pancreatitis: A Case Report

Biochemical Changes in Experimental Rat Model of Abdominal Compartment Syndrome

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