Low vs Standard Pneumoperitoneum Pressure During Laparoscopic Hysterectomy: Prospective Randomized Trial

Bogani, Giorgio; Uccella, Stefano; Cromi, Antonella; Serati, Maurizio; Casarin, Jvan; Pinelli, Ciro; Ghezzi, Fabio

doi:10.1016/j.jmig.2013.12.091

Cited by 70 publications

(80 citation statements)

References 26 publications

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“…We read with great interest both recent articles by Bogani et al [1,2]. We congratulate the authors on their studies and support their statement that low-pressure pneumoperitoneum is feasible and safe for performance of laparoscopic hysterectomy and might even reduce pain.…”

Section: To the Editormentioning

confidence: 68%

Minimally Invasive Insufflation Technique Is and Should Not Be a “Black Box” Principle

Jacobs¹,

Morrison²,

Hillerer³

et al. 2014

Journal of Minimally Invasive Gynecology

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Section: To the Editormentioning

confidence: 68%

Minimally Invasive Insufflation Technique Is and Should Not Be a “Black Box” Principle

Jacobs¹,

Morrison²,

Hillerer³

et al. 2014

Journal of Minimally Invasive Gynecology

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“…For example, the beneficial effects of low-pressure procedures on liver function were demonstrated in some studies (13)(14)(15). However, some studies showed the side effects of low-pressure and standardpressure pneumoperitoneum in laparoscopic cholecystectomy on different organs are comparable (16)(17)(18).…”

Section: Discussionmentioning

confidence: 99%

Comparison Postoperative Shoulder Pain, Nausea, and Vomiting Between Low and Normal Pressure Pneumoperitoneum in Laparoscopic Cholecystectomy

Nematihonar¹,

Fahimihanzaei²,

Kamranmanesh³

et al. 2017

Ann Anesth Crit Care

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Background: Low-pressure pneumoperitoneum during laparoscopic surgeries decreases some side effects related to inflate gas into abdominal cavity. The current study aimed at comparing the effects of standard-and low-pressure pneumoperitoneum on shoulder pain, nausea, and vomiting after laparoscopic cholecystectomy. Methods: In a randomized clinical trial, 202 ASA classes I and II patients, candidates for elective laparoscopic cholecystectomy, were randomly divided into the groups of standard-(12 to 14 mmHg) and low-(6 to 7 mmHg) pressure pneumoperitoneum. Postoperative shoulder pain, nausea, and vomiting were assessed between the 2 groups. Results: Post-operative shoulder pain was statistically lower in low-pressure group in comparison with standard-pressure group (P = 0.001). Nausea and vomiting were not statistically different between the 2 groups (P = 0.54). Conclusions: Low-pressure pneumoperitoneum during laparoscopic cholecystectomy was an efficient method to decrease postoperative shoulder pain.

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“…In addition, the use of small-diameter laparoscopes and instruments is feasible with low carbon dioxide pressures, 22 thereby reducing possible complications related to pneumoperitoneum.…”

Section: Discussionmentioning

confidence: 99%

Minilaparoscopy and Sentinel Lymph Node in Uterine Cancer

Ferreira

Nogueira‐Silva

Miranda

et al. 2015

CRSLS

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Background: The sentinel lymph node (SLN) concept might minimize surgical aggressiveness in gynecological oncology, namely in cervical and endometrial malignancies. Therefore, we assessed the feasibility of SLN identification, dissection, and harvesting by using minilaparoscopic surgical instruments in an animal model. We compared the minilaparoscopic approach, which is known to bring important advantages, with the use of conventional laparoscopic instruments.

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Low vs Standard Pneumoperitoneum Pressure During Laparoscopic Hysterectomy: Prospective Randomized Trial

Cited by 70 publications

References 26 publications

Minimally Invasive Insufflation Technique Is and Should Not Be a “Black Box” Principle

Minimally Invasive Insufflation Technique Is and Should Not Be a “Black Box” Principle

Comparison Postoperative Shoulder Pain, Nausea, and Vomiting Between Low and Normal Pressure Pneumoperitoneum in Laparoscopic Cholecystectomy

Minilaparoscopy and Sentinel Lymph Node in Uterine Cancer

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