Intraoperative thermal regulation in patients undergoing laparoscopic vs open surgical procedures

Berber, Eren; String, A.; Garland, Adella M.; Engle, K. L.; Kim, K. M.; Ituarte, Philip H.G.; Siperstein, Allan

doi:10.1007/s004640000330

Cited by 24 publications

(24 citation statements)

References 24 publications

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“…In addition, like open abdominal surgeries, the patient is anesthetized and exposed to irrigation fluids within the peritoneal cavity. Our results mimicked those of many other studies that showed no significant difference in hypothermia between patients having laparoscopic versus open surgeries 32,45,46. …”

supporting

confidence: 93%

Unplanned Perioperative Hypothermia and Agreement Between Oral, Temporal Artery, and Bladder Temperatures in Adult Major Surgery Patients

Winslow

Cooper²,

Haws³

et al. 2012

Journal of PeriAnesthesia Nursing

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supporting

confidence: 93%

Unplanned Perioperative Hypothermia and Agreement Between Oral, Temporal Artery, and Bladder Temperatures in Adult Major Surgery Patients

Winslow

Cooper²,

Haws³

et al. 2012

Journal of PeriAnesthesia Nursing

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“…Rectal temperature change due to laparoscopy is controversial in humans (Luck et al 1999, Berber et al 2001, Cohen et al 2003 and little information in animals is available in this subject. Our results suggest that the pneumoperitoneum in not an important cause of hypothermia, and the lower rectal temperatures found in laparoscopy is related to longer surgical time.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic versus open splenectomy in dogs

et al. 2009

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653 Pesq. Vet. Bras. 29(8):653-660, agosto 2009 RESUMO.-[Comparação entre esplenectomia laparos-cópica e convencional em cães.] Nos últimos anos, a utilização da laparoscopia em Medicina Veterinária vem expandindo e, conseqüentemente, a necessidade de pes-quisas que determinem as vantagens, desvantagens e possíveis complicações de cada procedimento. Este es-tudo teve como objetivo descrever uma técnica de esplenectomia laparoscópica, assim como as alterações decorrentes deste acesso, e compará-la ao procedimen-to convencional em cães. Foram utilizadas 15 cadelas hígidas, sem raça definida, com peso médio de 17,4 ±2,5kg. Os animais foram distribuídos em três grupos: Grupo IA de acesso convencional (por laparotomia) utili-1 M.S. 2009. Laparoscopic versus open splenectomy in dogs. Pesquisa Veterinária Brasileira 29(8):653-660. In the last few years, the use of laparoscopy in veterinary medicine has expanded and consequently so was the need for studies that establish the advantages, disadvantages and possible complications of each procedure. The purpose of the current study was to describe a laparoscopic splenectomy technique and the alterations due to this access, and compare it to the open procedure in dogs. A total of 15 healthy female mongrel dogs were used, with mean weight of 17.4±2.5kg. The animals were distributed into three groups: Group IA of open splenectomy (laparotomy) using double ligation of the vessels of the splenic hilum with poliglicolic acid, Group IB of open splenectomy (laparotomy) with bipolar electrocoagulation of the splenic hilum, and Group II of laparoscopic access with bipolar electrocoagulation of the splenic hilum. Operative time, blood loss, size of incisions, complications during and after surgery were evaluated. Other parameters included pain scores, white blood cell (WBC) counts and postoperative serum concentrations of alanine aminotransferase (ALT), alkaline phosphatase (ALP), creatine kinase (CK), C-reactive protein (CRP), glucose and cortisol. No differences were found in the evaluation of parameters between both open splenectomy techniques employed. Laparoscopic access presented significant differences (p<0,05) when compared with open surgery: Longer operative time, smaller abdominal access, decrease in blood loss, lower concentrations of CRP, higher levels of CK and ALP, and lower scores in the pain scale. Laparoscopic surgery showed fewer complications of the surgical wound. No significant differences were observed between groups in the postoperative temperature, WBC, ALT, cortisol and glucose concentrations. In conclusion, the laparoscopic technique is useful for splenectomy in dogs, being advantageous in terms of blood loss, surgical stress and surgical wounds. However, it expends more operative time and causes transitory increase in hepatic and muscular enzymes. INDEX TERMS: Spleen, minimal invasive surgery, enzymes, stress, pain. Pesq. Vet. Bras. 29(8):653-660, agosto 2009 Rafael Stedile et al. 654 zando ligadura com ácido poliglicólico no selamento vas-cular do hilo espl...

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“…However, incidences of shivering, due to heat loss from insufflation gas and irrigation fluid and heat redistribution after anesthesia, have been reported to be similar for laparoscopic and open procedures [5][6][7]. Furthermore, although the most commonly used drugs, meperidine and clonidine, have potent anti-shivering effects [8], these may cause hemodynamic and respiratory suppression due to their sympatholytic actions.…”

Section: Introductionmentioning

confidence: 99%

Implications of palonosetron in elderly patients undergoing laparoscopic cholecystectomy with respect to its anti-shivering effect

Kim

Lee

et al. 2015

Aging Clin Exp Res

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Intraoperative thermal regulation in patients undergoing laparoscopic vs open surgical procedures

Abstract: This study demonstrates that patients who undergo laparoscopic and open procedures of similar duration under endotracheal general anesthesia have similar profiles in terms of perioperative hypothermia.

Cited by 24 publications

References 24 publications

Unplanned Perioperative Hypothermia and Agreement Between Oral, Temporal Artery, and Bladder Temperatures in Adult Major Surgery Patients

Unplanned Perioperative Hypothermia and Agreement Between Oral, Temporal Artery, and Bladder Temperatures in Adult Major Surgery Patients

Laparoscopic versus open splenectomy in dogs

Implications of palonosetron in elderly patients undergoing laparoscopic cholecystectomy with respect to its anti-shivering effect

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