Low pressure versus standard pressure pneumoperitoneum in laparoscopic cholecystectomy

Abstract

Low pressure pneumoperitoneum appears effective in decreasing pain after laparoscopic cholecystectomy. The safety of low pressure pneumoperitoneum has to be established.

Laparoscopic cholecystectomy under spinal-epidural anesthesiavs. general anaesthesia: a prospective randomised study

“…This lower incidence may be related with limited pressure (10 mmHg) of pneumoperitoneum and low carbon dioxide insufflation speed. So that lower pneumoperitoneum pressure makes lower shoulder pain statement is verified in our study like other similar studies [19]. …”

Laparoscopic cholecystectomy under spinal-epidural anesthesiavs. general anaesthesia: a prospective randomised study

“…This lower incidence may be related with limited pressure (10 mmHg) of pneumoperitoneum and low carbon dioxide insufflation speed. So that lower pneumoperitoneum pressure makes lower shoulder pain statement is verified in our study like other similar studies [19]. …”

Comparison of Bilateral Versus Unilateral Transversus Abdominis Plane Block Combined with Spinal Anesthesia in Laparoscopic Appendectomy: A Retrospective Observational Study

“…This was attributed to more pronounced pain on the side without TAPB after the effect of SA diminished. Similar to the literature, bilateral TAPB applications have been reported to provide longer-lasting and more effective analgesia than unilateral applications [ 4 , 14 , 15 ]. This finding supports our assertion that if a plane block is to be performed for postoperative analgesia in neuraxial anesthesia cases, it should be performed bilaterally.…”

Laparoscopic Cholecystectomy Under Spinal Versus General Anesthesia: A Prospective, Randomized Study

“…A recent meta-analysis concluded that the use of a low-pressure pneumoperitoneum appears effective in decreasing pain after LC. 12 This may explain the lower pain scores in the late postoperative period in the Tzovaras et al study, although this finding has not been reproduced in the present study. 9 However, the finding of a lower mean pain score for the first 24 hours postoperatively in the SALC group in the present study suggests that the contribution of spinal anesthesia in diminishing the postoperative pain might be greater than that of a low-pressure pneumoperitoneum.…”

Laparoscopic cholecystectomy under spinal-epidural anesthesiavs. general anaesthesia: a prospective randomised study

“…This lower incidence may be related with limited pressure (10 mmHg) of pneumoperitoneum and low carbon dioxide insufflation speed. So that lower pneumoperitoneum pressure makes lower shoulder pain statement is verified in our study like other similar studies [19]. …”

Comparison of Bilateral Versus Unilateral Transversus Abdominis Plane Block Combined with Spinal Anesthesia in Laparoscopic Appendectomy: A Retrospective Observational Study

“…This was attributed to more pronounced pain on the side without TAPB after the effect of SA diminished. Similar to the literature, bilateral TAPB applications have been reported to provide longer-lasting and more effective analgesia than unilateral applications [ 4 , 14 , 15 ]. This finding supports our assertion that if a plane block is to be performed for postoperative analgesia in neuraxial anesthesia cases, it should be performed bilaterally.…”

Laparoscopic Cholecystectomy Under Spinal Versus General Anesthesia: A Prospective, Randomized Study

“…A recent meta-analysis concluded that the use of a low-pressure pneumoperitoneum appears effective in decreasing pain after LC. 12 This may explain the lower pain scores in the late postoperative period in the Tzovaras et al study, although this finding has not been reproduced in the present study. 9 However, the finding of a lower mean pain score for the first 24 hours postoperatively in the SALC group in the present study suggests that the contribution of spinal anesthesia in diminishing the postoperative pain might be greater than that of a low-pressure pneumoperitoneum.…”

Laparoscopic cholecystectomy under spinal-epidural anesthesiavs. general anaesthesia: a prospective randomised study

“…This lower incidence may be related with limited pressure (10 mmHg) of pneumoperitoneum and low carbon dioxide insufflation speed. So that lower pneumoperitoneum pressure makes lower shoulder pain statement is verified in our study like other similar studies [19]. …”

Comparison of Bilateral Versus Unilateral Transversus Abdominis Plane Block Combined with Spinal Anesthesia in Laparoscopic Appendectomy: A Retrospective Observational Study

“…This was attributed to more pronounced pain on the side without TAPB after the effect of SA diminished. Similar to the literature, bilateral TAPB applications have been reported to provide longer-lasting and more effective analgesia than unilateral applications [ 4 , 14 , 15 ]. This finding supports our assertion that if a plane block is to be performed for postoperative analgesia in neuraxial anesthesia cases, it should be performed bilaterally.…”

Laparoscopic Cholecystectomy Under Spinal Versus General Anesthesia: A Prospective, Randomized Study

“…A recent meta-analysis concluded that the use of a low-pressure pneumoperitoneum appears effective in decreasing pain after LC. 12 This may explain the lower pain scores in the late postoperative period in the Tzovaras et al study, although this finding has not been reproduced in the present study. 9 However, the finding of a lower mean pain score for the first 24 hours postoperatively in the SALC group in the present study suggests that the contribution of spinal anesthesia in diminishing the postoperative pain might be greater than that of a low-pressure pneumoperitoneum.…”