Araujo-Lopez A, Gonzalez-Rodriguez M, Aburto-Fernandez Md, Herrera-Barron Sj, Insunza-Miranda Jg, Sierra-Brozon Ag
{"title":"低容量气腹对术后疼痛的控制","authors":"Araujo-Lopez A, Gonzalez-Rodriguez M, Aburto-Fernandez Md, Herrera-Barron Sj, Insunza-Miranda Jg, Sierra-Brozon Ag","doi":"10.16966/2470-0991.206","DOIUrl":null,"url":null,"abstract":"Introduction: At present, laparoscopic cholecystectomy is considered the procedure of choice in the management of symptomatic cholelithiasis. It has been proposed that pneumoperitoneum in laparoscopic surgery increases post-surgical pain and produces adverse physiological effects in some patients. Objective: Control postoperative pain in surgery by reducing pneumoperitoneum pressure. Material and Methods: Study 3 Hospitals, both public and private, comparing the conventional technique using the original intra-abdominal pressure versus lowering the pneumoperitoneum pressure to 10 mmHg, to reduce pain. Conclusion: Reducing the CO 2 pressure in mmHg up to 10.9 on average of the transoperative pneumoperitoneum, was shown as a safe, uncomplicated pressure and reduced postoperative pain without the need to scale up a greater number of analgesics.","PeriodicalId":115205,"journal":{"name":"Journal of Surgery: Open Access","volume":"16 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Pneumoperitoneum Low Volume as Control of Post Surgical Pain\",\"authors\":\"Araujo-Lopez A, Gonzalez-Rodriguez M, Aburto-Fernandez Md, Herrera-Barron Sj, Insunza-Miranda Jg, Sierra-Brozon Ag\",\"doi\":\"10.16966/2470-0991.206\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: At present, laparoscopic cholecystectomy is considered the procedure of choice in the management of symptomatic cholelithiasis. It has been proposed that pneumoperitoneum in laparoscopic surgery increases post-surgical pain and produces adverse physiological effects in some patients. Objective: Control postoperative pain in surgery by reducing pneumoperitoneum pressure. Material and Methods: Study 3 Hospitals, both public and private, comparing the conventional technique using the original intra-abdominal pressure versus lowering the pneumoperitoneum pressure to 10 mmHg, to reduce pain. Conclusion: Reducing the CO 2 pressure in mmHg up to 10.9 on average of the transoperative pneumoperitoneum, was shown as a safe, uncomplicated pressure and reduced postoperative pain without the need to scale up a greater number of analgesics.\",\"PeriodicalId\":115205,\"journal\":{\"name\":\"Journal of Surgery: Open Access\",\"volume\":\"16 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1900-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Surgery: Open Access\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.16966/2470-0991.206\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Surgery: Open Access","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.16966/2470-0991.206","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Pneumoperitoneum Low Volume as Control of Post Surgical Pain
Introduction: At present, laparoscopic cholecystectomy is considered the procedure of choice in the management of symptomatic cholelithiasis. It has been proposed that pneumoperitoneum in laparoscopic surgery increases post-surgical pain and produces adverse physiological effects in some patients. Objective: Control postoperative pain in surgery by reducing pneumoperitoneum pressure. Material and Methods: Study 3 Hospitals, both public and private, comparing the conventional technique using the original intra-abdominal pressure versus lowering the pneumoperitoneum pressure to 10 mmHg, to reduce pain. Conclusion: Reducing the CO 2 pressure in mmHg up to 10.9 on average of the transoperative pneumoperitoneum, was shown as a safe, uncomplicated pressure and reduced postoperative pain without the need to scale up a greater number of analgesics.