Pneumoperitoneum and Gynecological Laparoscopic Surgery: An Observational Clinical Study

Assiut University60 enrolled

Overview

Laparoscopic surgery is now widely established.Laparoscopic surgery involves insufflation of a gas (usually carbon dioxide) into the peritoneal cavity producing a pneumoperitoneum. The raised intra-abdominal pressure of the pneumoperitoneum, alteration in the patient's position and effects of carbon dioxide absorption cause changes in physiology, especially within the cardiovascular and respiratory systems.

The study will be carried out after approval of the ethical committee of Faculty of Medicine, Assiut University. A full preoperative anesthetic assessment will be carried out. Particular attention to the cardiovascular and respiratory systems is essential because of potential effects of the pneumoperitoneum and patient position.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Laparoscopy

Interventions

Laparoscopic SurgeryPROCEDURE

Insufflation of a gas (carbon dioxide) into the peritoneal cavity producing a pneumoperitoneum will be done. The positioning of the patients in Trendelenburg position will be done. intraoperative and postoperative outcomes will be assesed

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age range 18-50 2. ASA 1 3. Elective gynecological laparoscopic surgery Exclusion Criteria: 1. Severe ischemic or valvular heart disease 2. Increased intracranial pressure (e.g. Hydrocephalus, Cerebral tumor, Head injury) 3. Hepatic or renal impairment 4. Emergency surgery 5. Open surgery 6. Previous abdominal surgery

Locations (1)

Faculty of Medicine

Asyut, Egypt

Outcomes

Primary Outcomes

mean arterial blood pressure

mean arterial blood pressure will be monitored at different times

Time frame: within the duration of the operation

Pulmonary function tests

forced expiratory volume at one second