Laparoscopic insufflation of the abdomen reduces portal venous flow

Jakimowicz, Jack J.; Stultiëns, G.N.; Smulders, F

doi:10.1007/s004649900612

Cited by 289 publications

(244 citation statements)

References 13 publications

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“…These factors were proved to make a significant change in intra-abdominal blood flow, which could have eventually been a cause of PVT. 2 Therefore, this restricted information may be a limitation of our case report.…”

Section: Discussionmentioning

confidence: 96%

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Recurrent Abdominal Pain after Laparoscopic Appendectomy

Seo

Kim

Park

et al. 2017

Korean J Gastroenterol

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Laparoscopic surgical approaches, compared with open surgical approaches, provide comparable clinical outcomes, but lower complications. Unfortunately, a rare complication-portomesenteric vein thrombosis-had been reported after laparoscopic surgery. A 42-year-old woman was referred our hospital for recurrent abdominal pain after laparoscopic appendectomy from acute appendicitis. It was determined that abdominal pain was due to postoperative superior mesenteric vein thrombus. A six-month anticoagulation therapy is an excellent treatment for superior mesenteric vein thrombus . Therefore, physicians should be aware of portomesenteric vein thrombosis in patients with newly developed abdominal pain after successful laparoscopic surgical management. (Korean J Gastroenterol 2017;69:187-190)

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Section: Discussionmentioning

confidence: 96%

“…1 However, laparoscopic surgery has been suggested to cause portomesenteric vein thrombosis (PVT) attributed to decreased portomesenteric blood flow due to increased abdominal pressure and hypercapnia. 2 PVT after laparoscopic appendectomy is an uncommon complication.…”

Section: Introductionmentioning

confidence: 99%

Recurrent Abdominal Pain after Laparoscopic Appendectomy

Seo

Kim

Park

et al. 2017

Korean J Gastroenterol

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“…It has been reported that pneumoperitoneum during laparoscopic procedures can decrease intra-abdominal blood perfusion [13][14][15] and thereby act as a cause of PMVT. 16 In surgical planning for our case, we considered using gasless abdominal wall lifting instead of pneumoperitoneum, to avoid decreasing intra-abdominal blood flow.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic-assisted Resection for Jejunal Stenosis Following Extensive Portomesenteric Venous Thrombosis

Yokoyama

Ito

Sekioka

et al. 2014

CRSLS

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Introduction: Portomesenteric venous thrombosis (PMVT) is a rare and often fatal disease that is difficult to diagnose. The symptoms are nonspecific, and diagnosis and initial treatment tend to be delayed. The initial treatment strategy for PMVT has recently tended toward the use of conservative methods before surgical intervention, and most patients can be successfully treated in this way. In rare cases, however, bowel strictures may develop, owing to chronic ischemia.

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“…There are various haemodynamic, respiratory, and stress response changes in laparoscopic surgery due to creation of pneumoperitoneum. [7][8][9][10] In balanced anaesthesia, ideal opioid would permit rapid titration to the effect, successfully prevent unwanted responses to various stimuli, require little supplementation, does not depress cardiovascular function, permit the return of adequate spontaneous ventilation in timely manner and produce residual if not complete post-operative analgesia with minimal side effects. Both the group of drugs have haemodynamic stability, analgesia, sedation and decreases the requirement of other anesthetic drugs and is available at low cost.…”

Section: Discussionmentioning

confidence: 99%

Comparison of butorphanol and fentanyl for balanced anaesthesia in patients undergoing laparoscopic surgeries under general anaesthesia:A prospective, randomized and double-blind study

Mh¹,

Satyanarayana²,

Srinivas³

et al. 2013

JCSR

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INTRODUCTIONPain is an unpleasant sensation, which produces a reaction consisting of withdrawal response, metabolic response, hormonal response and conscious aversion. The side-effects of pain include peripheral vasoconstriction, reduced functional residual capacity and reduced sputum clearance.1,2 Pain relief has many advantages, namely, reduction in metabolic response to trauma, there by prevent postoperative negative nitrogen balance. Moreover pain-free patients have better mobility with immediate benefits in reduced incidence of chest infections and deep vein thrombosis. Laparoscopy has been promoted aggressively and has advantages like shorter hospital stay, more rapid return to normal activities, less pain associated with the small, limited incisions and less postoperative ileus compared with the open laparotomy technique.3,4 Pneumoperitoneum causes various cardiovascular and respiratory derangements. The purpose of this study was to compare equipotent moderate doses of two different analgesics i.e., butorphanol and fentanyl in healthy adult patients undergoing laparoscopic cholecystectomy and appendicectomy under general anaesthesia in terms of intra-operative haemodynamics and post-operative pain relief. MATERIAL AND METHODSThis prospective, randomized and double-blind study was conducted after obtaining approval from the Institutional Ethical Committee to compare the analgesic efficacy of equipotent moderate doses of butorphanol and fentanyl in patients undergoing laparoscopic surgeries under general anaesthesia. ABSTRACTBack ground: Laparoscopic surgeries have advantages like shorter stay and rapid return to normal activities because of small incision and les pain. Pain is an unpleasant sensation in the post-operative period. Methods: Fifty patients of American society Anesthesiologists (ASA) grade I and II, scheduled to undergo laparoscopic surgery, were randomized into butorphanol group (Group B) (n=25) and fentanyl group (Group F) (n=25). Four minutes before induction of anesthesia, Group B received inj. butorphanol 40 µg/Kg intravenously while Group F received Inj. fentanyl 2 µg/kg intravenously. All patients received general anaesthesia with controlled ventilation. Heart rate, systolic blood pressure (SBP), diastolic blood pressure (DBP), end tidal carbon dioxide (ETCO 2 ), and oxygen saturation were monitored at different intervals. Results: The demographic data was comparable in both groups (p<0.05). There was a significant difference between the two groups in pulse rate after 12 minutes after intubation that persisted till the 2 nd hour of post-operative period. There was no significant difference in DBP till 9 min after intubation, and then onwards significant changes were noted till 4 th hour of post-operative period. Butorphanol provided prolonged analgesia when compared to fentanyl. Conclusions: We conclude that butorphanol is a better alternative to fentanyl for use as analgesic in laparoscopic surgeries because of its ability to produce prolonged analgesia, and less post-operative compli...

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Laparoscopic insufflation of the abdomen reduces portal venous flow

Cited by 289 publications

References 13 publications

Recurrent Abdominal Pain after Laparoscopic Appendectomy

Recurrent Abdominal Pain after Laparoscopic Appendectomy

Laparoscopic-assisted Resection for Jejunal Stenosis Following Extensive Portomesenteric Venous Thrombosis

Comparison of butorphanol and fentanyl for balanced anaesthesia in patients undergoing laparoscopic surgeries under general anaesthesia:A prospective, randomized and double-blind study

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