Which intraperitoneal insufflation pressure should be used for less postoperative pain in transperitoneal laparoscopic urologic surgeries?

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dc.contributor.authorAkkoç, Ali
dc.contributor.authorTopaktaş, Ramazan
dc.contributor.authorAydın, Cemil
dc.contributor.authorAltın, Selçuk
dc.contributor.authorGirgin, Reha
dc.contributor.authorYağlı, Ömer Faruk
dc.contributor.authorŞentürk, Aykut Buğra
dc.contributor.authorMetin, Ahmet
dc.date.accessioned2019-05-13T09:06:58Z
dc.date.available2019-05-13T09:06:58Z
dc.date.issued2017
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractPurpose: To determine whether using different intraperitoneal insufflation pressures for transperitoneal laparoscopic urologic surgeries decreases postoperative pain. Materials and Methods: 76 patients who underwent transperitoneal laparoscopic upper urinary tract surgery at different insufflation pressures were allocated into the following groups: 10mmHg (group I, n=24), 12mmHg (group II, n=25) and 14mmHg (group III, n=27). These patients were compared according to age, gender, body mass index (BMI), type and duration of surgery, intraoperative bleeding volume, postoperative pain score and length of hospital stay. A visual analog scale (VAS) was used for postoperative pain. Results: Demographic characteristics, mean age, gender, BMI and type of surgeries were statistically similar among the groups. The mean operation time was higher in group I than group II and group III but this was not statistically significant (P=0.810). The mean intraoperative bleeding volume was significantly higher in group I compared with group II and group III (P=0.030 and P=0.006). The mean length of postoperative hospital stays was statistically similar among the groups (P=0.849). The mean VAS score at 6h was significantly reduced in group I compared with group III (P=0.011). At 12h, the mean VAS score was significantly reduced in group I compared with group II and group III (P=0.009 and P < 0.001). There was no significant difference in the mean VAS scores at 24h among three groups (P=0.920). Conclusion: Lower insufflation pressures are associated with lower postoperative pain scores in the early postoperative period.
dc.identifier.citationAkkoç, A., Topaktaş, R., Aydın, C., Altın, S., Girgin, R., Yağlı, Ö. F., Şentürk, A. B.,Metin, A. (2017). Which intraperitoneal insufflation pressure should be used for less postoperative pain in transperitoneal laparoscopic urologic surgeries?. International Braz J Urol, 43(3), 518-524.
dc.identifier.doi10.1590/S1677-5538.IBJU.2016.0366
dc.identifier.endpage524en_US
dc.identifier.issn1677-5538
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ2
dc.identifier.startpage518en_US
dc.identifier.urihttps://doi.org/10.1590/S1677-5538.IBJU.2016.0366
dc.identifier.urihttps://hdl.handle.net/11491/1691
dc.identifier.volume43en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBrazilian Society of Urology
dc.relation.ispartofInternational Braz J Urol
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectLaparoscopyen_US
dc.subjectPainen_US
dc.subjectPneumoperitoneumen_US
dc.subjectPostoperativeen_US
dc.subjectUrologyen_US
dc.titleWhich intraperitoneal insufflation pressure should be used for less postoperative pain in transperitoneal laparoscopic urologic surgeries?
dc.typeArticle

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