The clinical impact of warmed insufflation carbon dioxide gas for laparoscopic cholecystectomy

Abstract

The use of carbon dioxide gas warmed to body temperature to produce a pneumoperitoneum during short-term laparoscopic surgery has no clinically important effect.

Comparison of Pain Relief By Placing Regenerated Oxidized Cellulose Sheet Soaked in Bupivacaine And Port Site Infiltration With Bupivacaine Post-Laparoscopic Cholecystectomy: A Randomized Control Trial

“…Institute of Medical Sciences during the period of 16 months from June 2015 to September 2016, were enrolled out of which 3 patients were excluded from the study due to laparoscopic to open conversion because of intraoperative bleeding (1) and gallbladder adhesion (2). So a total of 97 patients (70 females, 27 males) were included in this study.…”

“…Pain management has not been standardized at mass medical centers in India and abroad and this is reflected in the number of different pain studies after LC available in literature. Till day, many different methods have been used with conflicting rates of success to diminish the intensity of PO pain after LC [1][2][3][4][5][6][7][8][9]. They include low pressure pneumoperitoneum, gasless technique of LC, use of warm carbon dioxide, peritoneal wash with saline solution, strict surgical technique, perfect hemostasis, trocar site infiltration of anaesthetic drugs, instillation ofsubdiaphragmatic region with anaesthetic/analgesic drugs, or use of nonsteriodal anti-inflammatory drugs or dexamethasone.…”

“…They include low pressure pneumoperitoneum, gasless technique of LC, use of warm carbon dioxide, peritoneal wash with saline solution, strict surgical technique, perfect hemostasis, trocar site infiltration of anaesthetic drugs, instillation ofsubdiaphragmatic region with anaesthetic/analgesic drugs, or use of nonsteriodal anti-inflammatory drugs or dexamethasone. [1][2][3][4][5][6][7][8][9] To gain a major insight into the effectiveness of intraperitoneal use of 0.5% bupivacaine soaked sheet of regenerated oxidized cellulose and port site infiltration of bupivacaine in PO pain relief after laparoscopic cholecystectomy, the present study was carried out in the Department of General Surgery, A. J. Institute of Medical Sciences.…”

Changes in the coelomic microclimate during carbon dioxide laparoscopy: morphological and functional implications

“…This is due to the thermodynamic losses from the abdominal cavity associated with humidifying the dry gas [5,13]. Randomized controlled clinical trials have not shown warm dry gas to significantly improve postoperative pain or core temperature compared to cold-dry CO 2 [33][34][35][36]. In fact, after laparoscopic fundoplication, Wills et al (2001) showed an increase in postoperative pain when warm dry CO 2 vs. cold-dry CO 2 was used [36].…”

<b>The role of pneumoperitoneum in the glomerular filtration in an experimental model with 2/3 reduction of the renal mass

“…The increase of living donors, due to the facility of video-assisted surgery associated with the use of marginal donors, has supported the importance of the problem of eventual deleterious effects of the pneumoperitoneum in these particular cases (Hazebroek et al, 2002 Nature and temperature of the gas used (Saad, Minor, Mohri, & Nagelschmidt, 2001;Farias et al, 2011;Berganza & Zhang, 2013), as well as the pressure (Berguer, Gutt, & Stiegmann, 1993), the speed of insufflations and maintenance, hemodynamic repercussions, and the eventual diffusion of microorganisms have been exhaustively studied (Sorbello et al, 2003).…”