Laparoscopy in children and its impact on brain oxygenation during routine inguinal hernia repair

Pelizzo, Gloria; Bernardi, Luciano; Carlini, Veronica; Pasqua, Noemi; Mencherini, Simonetta; Maggio, Giuseppe; Silvestri, Annalisa De; Bianchi, Lucio; Calcaterra, Valeria

doi:10.4103/0972-9941.181800

Cited by 28 publications

(26 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Laparoscopic surgery is one of the most common surgeries performed in patients of different age groups, 18 and during laparoscopic surgeries, intra-abdominal pressure increase could change hemodynamics and have effects on cerebral circulation. 19 The present study investigated the effects of inhaled anesthetic sevoflurane and intravenous anesthetic propofol on CVR-CO 2 during laparoscopic surgery and compared the changing trends of CVR-CO 2 during anesthesia maintenance of the 2 strategies. The results show that in either group, CVR-CO 2 before pneumoperitoneum was significantly higher than baseline.…”

Section: Discussionmentioning

confidence: 99%

Effects of sevoflurane versus propofol on cerebrovascular reactivity to carbon dioxide during laparoscopic surgery

Wang¹,

Ni²,

Li³

et al. 2017

TCRM

View full text Add to dashboard Cite

PurposeCerebrovascular reactivity to carbon dioxide (CVR-CO2) reflects cerebrovascular reserve capacity, which is important in many brain disorders, including cerebrovascular and Alzheimer’s diseases. Meanwhile, there is a relationship between CVR-CO2 and cognitive function. Therefore, the study is aimed at investigating the effects of sevoflurane versus propofol on CVR-CO2 during laparoscopic surgery, as well as the role of CVR-CO2 on cognitive function during perioperative period.Patients and methodsEighty-eight patients, aged 18–65 years undergoing elective laparoscopic cholecystectomy, were randomly assigned to group S and group P. The patients in group S were induced with propofol and maintained with sevoflurane. The patients in group P were induced and maintained with propofol (target-controlled infusion). Remifentanil was given to both groups. CVR-CO2 at baseline (before induction), before pneumoperitoneum and during pneumoperitoneum, as well as Mini-Mental State Examination scores at baseline and 24 hours after surgery were recorded.ResultsIn group S, CVR-CO2 before and during pneumoperitoneum increased significantly compared with baseline (P<0.05). In group P, CVR-CO2 before pneumoperitoneum increased significantly (P<0.05), but CVR-CO2 during pneumoperitoneum was not different compared with baseline. In either group, there was no significant correlation between mean blood pressure and CVR-CO2 during surgery, and there was no significant difference between Mini-Mental State Examination scores at baseline and 24 hours after surgery.ConclusionSevoflurane could maintain CVR-CO2 at a higher level during pneumoperitoneum in surgery. Therefore, in patients with impaired cerebrovascular reserve capacity, inhaled anesthetic could be a priority strategy for anesthesia maintenance to improve the compensatory vasodilation ability of cerebral small vessels.

show abstract

Section: Discussionmentioning

confidence: 99%

Effects of sevoflurane versus propofol on cerebrovascular reactivity to carbon dioxide during laparoscopic surgery

Wang¹,

Ni²,

Li³

et al. 2017

TCRM

View full text Add to dashboard Cite

show abstract

“…It can also fully free spermatic cord vessels to reach the lower pole of the kidney to ensure testicular tension-free descent into the scrotum. However, laparoscopic surgery requires laparoscopic equipment, which is costly and brings with it potential complications such as intestinal injury, bladder injury and subcutaneous emphysema caused by CO2 pneumoperitoneum [20,21]. Furthermore the indications for laparoscopy are different from those of transscrotal surgery which is applied in palpable testicles, and the laparoscopic surgery is mainly used for abdominal cryptorchidism.…”

Section: Discussionmentioning

confidence: 99%

Transscrotal transverse incision for the treatment of middle and low cryptorchidism in children: experience from 796 cases

et al. 2020

View full text Add to dashboard Cite

Background: The purpose of this study was to summarize our clinical experience with transscrotal transverse incision in the treatment of low and middle cryptorchidism in children. Methods: A total of 796 children with low or middle cryptorchidism participated in this study from March 2012 to May 2018. Transscrotal transverse incision was used to treat low and middle cryptorchidism. Symptoms and signs were followed up at 1 week, 1 month, 3months and every six to 12 months thereafter. Results: Testicular descent fixation through transverse scrotal incision was successfully performed in all 796 children. All patients were discharged 1-2 days after the operation. During hospitalization and follow-up, 35 patients had complications, including 7 cases of cryptorchidism recurrence, 5 cases of poor scrotal incision healing, and 23 cases of scrotal haematoma. There were no complications, such as bladder injury, testicular atrophy, inguinal hernia or hydrocele. Conclusion: Transscrotal transverse incision is a safe and feasible method for the treatment of middle and low cryptorchidism. It has the advantages of less trauma and an aesthetic scar after operation.

show abstract

“…It can be carried out under direct vision, thus reducing the damage to the testicular blood supply and ensuring tension-free testicular descent into the scrotum. Although laparoscopic surgery has complications, such as intestinal injury, bladder injury and subcutaneous emphysema caused by CO 2 pneumoperitoneum, their incidence is low and can be avoided as long as care is taken during the operation [23][24] .…”

Section: Discussionmentioning

confidence: 99%

A comparative study of transscrotal, transinguinal and laparoscopic orchidopexy for inguinal cryptorchidism

Wang

Zhang

Chen

et al. 2020

Preprint

View full text Add to dashboard Cite

Background A retrospective comparative study was performed on scrotal incision, inguinal incision and laparoscopic orchidopexy. The characteristics of the different surgical methods were analysed. Methods Clinical data of 158 patients with inguinal cryptorchidism admitted to our hospital from January 2017 to January 2018 were retrospectively analysed. Results The operation time in the scrotal incision group was significantly less than that in the inguinal incision group and laparoscopic group (P < 0.05). The length of the operative incision in the scrotal incision group and laparoscopic incision group was shorter than that in the inguinal incision group. There was no significant difference in the postoperative hospitalisation time or hospitalisation cost among the three groups (P > 0.05). The incidence of scrotal haematoma in the scrotal incision group was significantly higher than that in the inguinal incision group and laparoscopic group. There were no complications, such as testicular atrophy, testicular retraction, indirect inguinal hernia, or hydrocele. Conclusions Transscrotal incision, transinguinal incision and laparoscopic orchidopexy are safe for the treatment of inguinal cryptorchidism. Satisfactory early clinical results can be achieved. Rational use of scrotal incision surgery and laparoscopic surgery for cryptorchidism may replace transinguinal surgery and can provide a good cosmetic effect for children.

show abstract

Laparoscopy in children and its impact on brain oxygenation during routine inguinal hernia repair

Cited by 28 publications

References 25 publications

Effects of sevoflurane versus propofol on cerebrovascular reactivity to carbon dioxide during laparoscopic surgery

Effects of sevoflurane versus propofol on cerebrovascular reactivity to carbon dioxide during laparoscopic surgery

Transscrotal transverse incision for the treatment of middle and low cryptorchidism in children: experience from 796 cases

A comparative study of transscrotal, transinguinal and laparoscopic orchidopexy for inguinal cryptorchidism

Contact Info

Product

Resources

About