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During laparoscopy pneumoperitoneum creates the necessary space in which to perform the operation. Growing evidence in general surgery has shown that reduction of intra-abdominal pressure during laparoscopy is related to improved postoperative outcomes, decreased pain perception, length of hospital stay, and analgesic rescue dosage in patients undergoing minimally invasive procedures using low pneumoperitoneum pressure (LPP) compared with standard pneumoperitoneum pressure (SPP). Aim of the study is to demonstrate the safety and feasibility of LPP during performance of Single Port Access Laparoscopy for benign adnexal pathologies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low pression pneumoperitoneum | Experimental | Patients undergoing Single Port Access Laparoscopy for benign adnexal pathology with use of Low Pression Pneumoperitoneum (8 mm Hg) |
|
| Standard pression pneumoperitoneum | Experimental | Patients undergoing Single Port Access Laparoscopy for benign adnexal pathology with use of Standard Pression Pneumoperitoneum (12 mm Hg) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Low pression pneumoperitoneum | Procedure | Pneumoperitoneum will be obtained by infusing carbon dioxide to distend the peritoneal cavity. Intra-abdominal pressure will be maintained at 8 mm Hg during pneumoperitoneum creation and insertion of trocars. |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain measured on a VAS scale | Experienced pain over the last six hours measured on a VAS scale | 6 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Operation time | Operating time in minutes. | 0 hours after the operation |
| Blood loss in ml | Estimated blood loss in ml. | 0 hours after the operation |
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Inclusion Criteria:
Exclusion Criteria:
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| Standard Pression Pneumoperitoneum | Procedure | Pneumoperitoneum will be obtained by infusing carbon dioxide to distend the peritoneal cavity. Intra-abdominal pressure will be maintained at 12 mm Hg during pneumoperitoneum creation and insertion of trocars. |
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| Single Port Access Laparoscopy | Procedure | Laparoscopy surgery with use of only one incision of 2 cm in the umbilicus in order to threat benign adnexal pathology |
|
| Complications | Complications during surgery and late complications. | Two months |
| Shoulder tip pain measured on a VAS scale | Experienced shoulder tip pain over the last 24 hours measured on a VAS scale. | 24 hours |
| Postoperative pain measured on a VAS scale | Experienced pain over the last 24 hours measured on a VAS scale. | 24 hours |