Ultrasound-guided Alveolar Recruitment in Laparoscopic Gynecological Surgery

The Effect of Ultrasound-guided Alveolar Recruitment on Postoperative Atelectasis in Patients Receiving Laparoscopic Gynecological Surgery

The study aims to compare the degree of atelectasis between ultrasound-guided alveolar recruitment group and conventional alveolar recruitment group in patients receiving laparoscopic gynecologic surgery

Inclusion Criteria:

• Adult patients scheduled to undergo elective laparoscopic gynecological surgery (laparoscopic ovarian cystectomy or laparoscopic salpingo-oophorectomy or laparoscopic hysterectomy or laparoscopic myomectomy) under general anesthesia, with ASA physical status classification I or II

Exclusion Criteria:

• Previous history of lung surgery
• Patients having pneumonia, pneumothorax, or pleural effusion in preoperative chest X-ray
• Patients with COPD, emphysema
• Patients with previous history of pneumothorax, or bullae
• Morbid cardiac disease
• Adolescent aged < 18 years
• Anticipated duration of surgery < 1 hour