Heated and Humidified CO2 Prevents Hypothermia, Peritoneal Injury, and Intra-Abdominal Adhesions During Prolonged Laparoscopic Insufflations

Peng, Yuan‐Fei; Zheng, Minhua; Ye, Qing; Chen, Xuehua; Yu, Bei-Qing; Liu, Bingya

doi:10.1016/j.jss.2008.03.039

Cited by 80 publications

(83 citation statements)

References 53 publications

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“…The National Institute for Health and Care Excellence stipulates a difference of more than 0.2˚C is clinically important in CBT less than 36˚C [18]. This supports that idea that 21˚C carbon dioxide gas during pneumoperitoneum decreases the intra-operative CBT [1]. Throughout abdominal laparoscopic surgery, providing continuously 180-200 L carbon dioxide gas of 21˚C [23,24], which is lower than 36.6˚C body temperature, seems to have the potential for heat loss and possibly to aggravate intra-operative hypothermia.…”

Section: Discussionsupporting

confidence: 54%

Factors Influencing Intra-Operative Body Temperature in Laparoscopic Colectomy Surgery under General Anesthesia: An Observational Cohort

Jin

Yoon

2017

jkbns

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Section: Discussionsupporting

confidence: 54%

Factors Influencing Intra-Operative Body Temperature in Laparoscopic Colectomy Surgery under General Anesthesia: An Observational Cohort

Jin

Yoon

2017

jkbns

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“…(Sajid et al, 2008). Peng et al, (2008) further observed that it caused less peritoneal damage and less post-operative adhesions. Further studies are needed to confirm these findings.…”

Section: On-going Developmentsmentioning

confidence: 89%

Laparoscopy in Children and Infants

Nwokoma¹,

Tsang²

2011

Advanced Laparoscopy

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“…Carbon dioxide pneumoperitoneum affects the intraperitoneal environment and was described as a factor, which in standard conditions during short time laparoscopy, influences the peritoneum and promotes the formation of adhesions. However, heating the gas may limit this process [31][32][33][34]. Molinas et al [35] studied mice peritoneum and observed that an increased formation of adhesions correlates with the duration and pressure of pneumoperitoneum.…”

Section: Discussionmentioning

confidence: 99%

Stability of peritoneal tissue evaluated by the means of DSC in obese patients undergoing laparoscopic cholecystectomy

Torres

Trębacz

Pietrzyk

et al. 2017

J Therm Anal Calorim

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Obesity is considered to be the leading metabolic disease in the world. The coincidence of postoperative complications is higher in obese individuals; thus, laparoscopic techniques due to their minimally invasive character became a standard in the surgical treatment of obesity. The proper function of peritoneal tissue is essential for the response to surgical trauma. Therefore, understanding the alterations of peritoneal tissue of obese individuals might explain the increased number of postoperative complications observed in obese patients. The study aimed to assess whether the stability of peritoneum is altered in obese patients and whether it corresponds to early postoperative complications in obese patients. Samples of parietal peritoneal tissue were collected at the beginning of the laparoscopic cholecystectomy from 80 patients. Differential scanning calorimetry was performed on samples defrosted at room temperature. Patients were divided into three groups according to the BMI value. For statistical analysis, ANOVA, Chi-square, Student's t test, and correlations with Pearson test were used. Significantly lower DH and higher T m were in patients in whom intraperitoneal adhesions were reported. Lower DH was reported in samples obtained from patients with temperature above 37°C in the first 24 h postoperatively. Enthalpy of thermal transition (DH) in peritoneum obtained from parous was significantly lower in comparison with the samples from nullipara. It can be concluded that DSC parameters correlated with parameters related to the early postoperative period. Occurrence of adhesions was reported more frequently in the group of obese and overweight individuals and correlated with lower change in enthalpy of collagen denaturation.

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Heated and Humidified CO2 Prevents Hypothermia, Peritoneal Injury, and Intra-Abdominal Adhesions During Prolonged Laparoscopic Insufflations

Cited by 80 publications

References 53 publications

Factors Influencing Intra-Operative Body Temperature in Laparoscopic Colectomy Surgery under General Anesthesia: An Observational Cohort

Factors Influencing Intra-Operative Body Temperature in Laparoscopic Colectomy Surgery under General Anesthesia: An Observational Cohort

Laparoscopy in Children and Infants

Stability of peritoneal tissue evaluated by the means of DSC in obese patients undergoing laparoscopic cholecystectomy

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