Predictive factors of admission in outpatient laparoscopic surgery

López, Jaime López-Torres; García, Belén Cifuentes; Ruipérez, Laura Fernández; Criado, Alberto Rodeles; Noalles, M.J. Alcántara; García, Ramón Peiró; Navarro, Pilar Argente

doi:10.1016/j.cireng.2021.01.003

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…This is mostly because of its low combustibility along with its high solubility in blood, which effectively reduces the likelihood of gas embolism occurring, with reported rates ranging from 0.0014% to 0.6%, which can result in patient mortality during LPS. [12][13][14][15] Amplified IAP and hypercarbia are the two primary components of CO 2 insufflation that have an effect on the cardiovascular, respiratory, and renal systems. CO 2 is used for insufflation because it is more diffusible (×200) than oxygen, is swiftly eliminated by the alveoli, and does not sustain combustion.…”

Section: Choice Of Gas For Pneumoperitoneummentioning

confidence: 99%

Systematic review on techniques for the creation of pneumoperitoneum in laparoscopic surgeries

Asna Zehra Naqvi,

Vignesh Balasubaramaniam,

Wasif Raza

et al. 2024

Asian J Med Sci

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Recently, laparoscopic surgeries (LPSs) are becoming increasingly prevalent. Incorporating these methods into clinical practice necessitates an in-depth understanding of the surgical techniques and multifaceted instrumentation that are specific to a slightly invasive operation. Within this systematic review, attention is directed to the technique for pneumoperitoneum creation, like the open and closed technique, to select optimal procedures along with appropriate utilization, with prominence on complication avoidance. This systematic literature review (SLR) examined significant findings from 2018 to 2023. This SLR complies with the quality standards suggested by the PRISMA document. Web of Science, SCOPUS, ProQuest, ScienceDirect, and SpringerLink are the resources. The exclusion criteria included case reports, abstracts, and letters, as well as inclusion criteria included randomized, quasi-randomized, non-randomized, and cohort investigations on human patients, provided that they liked access safety methods and presented values. According to the findings, it can be concluded that the LP inspection of the abdominal cavity (AC), which necessitates cannula implantation, is safe and effective. Closed (Veress needle technique) and open (Hasson technique) pneumoperitoneum induction techniques are frequently utilized. Most laparoscopy (LP) surgeons prefer closed LP utilizing a Veress needle and the first trocar’s masked insertion. Critics of the Veress needle, however, assert that this technique increases the risk of vascular injury. According to proponents of the open Hasson technique, vascular injury could be entirely avoided. The use of an open approach utilizing a blunt-tipped trocar for the formation of pneumoperitoneum may provide a potentially safer alternative during LPSs, depending on safety considerations.

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Section: Choice Of Gas For Pneumoperitoneummentioning

confidence: 99%

Systematic review on techniques for the creation of pneumoperitoneum in laparoscopic surgeries

Asna Zehra Naqvi,

Vignesh Balasubaramaniam,

Wasif Raza

et al. 2024

Asian J Med Sci

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“…In particular, laparoscopy is associated with better cosmetic results, shorter hospital stays, lower postoperative pain, and a faster return to daily activities [1]. However, it is not free from short-and long-term comorbidities, such as light pain, abdominal discomfort, and adhesion development [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

The “Dark Side” of Pneumoperitoneum and Laparoscopy

Umano

Delehaye

Noviello

et al. 2021

Minimally Invasive Surgery

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Laparoscopic surgery has been one of the most common procedures for abdominal surgery at pediatric age during the last few decades as it has several advantages compared to laparotomy, such as shorter hospital stays, less pain, and better cosmetic results. However, it is associated with both local and systemic modifications. Recent evidence demonstrated that carbon dioxide pneumoperitoneum might be modulated in terms of pressure, duration, temperature, and humidity to mitigate and modulate these changes. The aim of this study is to review the current knowledge about animal and human models investigating pneumoperitoneum-related biological and histological impairment. In particular, pneumoperitoneum is associated with local and systemic inflammation, acidosis, oxidative stress, mesothelium lining abnormalities, and adhesion development. Animal studies reported that an increase in pressure and time and a decrease in humidity and temperature might enhance the rate of comorbidities. However, to date, few studies were conducted on humans; therefore, this research field should be further investigated to confirm in experimental models and humans how to improve laparoscopic procedures in the spirit of minimally invasive surgeries.

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Predictive factors of admission in outpatient laparoscopic surgery

Cited by 2 publications

References 18 publications

Systematic review on techniques for the creation of pneumoperitoneum in laparoscopic surgeries

Systematic review on techniques for the creation of pneumoperitoneum in laparoscopic surgeries

The “Dark Side” of Pneumoperitoneum and Laparoscopy

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