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The authors aimed to evaluate factors influencing abdominal compliance in laparoscopic abdominal surgery.
During laparoscopic surgery, pneumoperitoneum is achieved by insufflating carbon dioxide (CO2) gas into the abdominal cavity to create a safe working space. Pneumoperitoneum-induced elevation in intra-abdominal pressure (IAP) can result in various complications. Abdominal compliance (AC), represents the slope of the P-V curve of the abdominal cavity and is a measure of the ease of abdominal dilatation, is important to balance between surgical safety and complications. The aim of this study was to determine the effect of demographic and anatomic variables on AC.
The study included 90 patients who underwent laparoscopic abdominal surgery. Subcutaneous adipose tissue and abdominal muscle thickness were measured ultrasonographically. Mean AC was calculated during insufflation using the formula (ΔV/ΔP). The relationship between demographic and anatomic variables and AC was investigated
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laparoscopic surgery | Procedure | effect of carbondioxide insufflation on abdominal compliance was evaluated |
|
| Measure | Description | Time Frame |
|---|---|---|
| The factors affecting abdominal compliance | Effect of rectus muscle thickness and lateral abdominal muscle group thickness on abdominal compliance. Abdominal compliance is calculated by dividing intrabdominal volume change to intraabdominal pressure change during abdominal carbondioxide insufflation. | From the beginning of carbondioxide insufflation to the intraabdominal pressure of 15 mmHg during surgery |
| Measure | Description | Time Frame |
|---|---|---|
| The factors affecting abdominal compliance | From the beginning of carbondioxide insufflation to the intraabdominal pressure of 15 mmHg during surgery | |
| The factors affecting abdominal compliance | Effect of age on abdominal compliance. Abdominal compliance is calculated by dividing intrabdominal volume change to intraabdominal pressure change during abdominal carbondioxide insufflation. |
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Inclusion Criteria:
Aged between 18 and 82 years ASA class I-III Elective abdominal surgery with laparoscopic technique
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Exclusion Criteria:
Aged below 18 and above 82 ASA IV-V
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ASA I-III patients aged between 18 and 82 years undergoing elective abdominal surgery with laparoscopic technique.
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| Name | Affiliation | Role |
|---|---|---|
| Menekse Ozcelik | Ankara University | Study Chair |
| Ezgi Yıldırım | Ankara University | Principal Investigator |
| Keziban Sanem Çakar Turhan | Ankara University | Study Chair |
| Aysegul Guven | Ankara University | Principal Investigator |
| Derya Gökmen | Ankara University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ankara University Medical School Anesthesiology and ICU Department | Ankara | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D010535 | Laparoscopy |
| ID | Term |
|---|---|
| D004724 | Endoscopy |
| D003949 | Diagnostic Techniques, Surgical |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| From the beginning of carbondioxide insufflation to the intraabdominal pressure of 15 mmHg during surgery |
| The factors affecting abdominal compliance | Effect of gender on abdominal compliance. Abdominal compliance is calculated by dividing intrabdominal volume change to intraabdominal pressure change during abdominal carbondioxide insufflation. | From the beginning of carbondioxide insufflation to the intraabdominal pressure of 15 mmHg during surgery |
| The factors affecting abdominal compliance | Effect of ASA physical status on abdominal compliance. Abdominal compliance is calculated by dividing intrabdominal volume change to intraabdominal pressure change during abdominal carbondioxide insufflation. | From the beginning of carbondioxide insufflation to the intraabdominal pressure of 15 mmHg during surgery |
| The factors affecting abdominal compliance | Effect of body mass index on abdominal compliance. Abdominal compliance is calculated by dividing intrabdominal volume change to intraabdominal pressure change during abdominal carbondioxide insufflation. | From the beginning of carbondioxide insufflation to the intraabdominal pressure of 15 mmHg during surgery |
| The factors affecting abdominal compliance | Effect of previous surgery on abdominal compliance. Abdominal compliance is calculated by dividing intrabdominal volume change to intraabdominal pressure change during abdominal carbondioxide insufflation. | From the beginning of carbondioxide insufflation to the intraabdominal pressure of 15 mmHg during surgery |
| The factors affecting abdominal compliance | Effect of pregnancy on abdominal compliance. Abdominal compliance is calculated by dividing intrabdominal volume change to intraabdominal pressure change during abdominal carbondioxide insufflation. | From the beginning of carbondioxide insufflation to the intraabdominal pressure of 15 mmHg during surgery |
| The factors affecting abdominal compliance | Effect of subcutaneous adipose tissue thickness on abdominal compliance. Abdominal compliance is calculated by dividing intrabdominal volume change to intraabdominal pressure change during abdominal carbondioxide insufflation. | From the beginning of carbondioxide insufflation to the intraabdominal pressure of 15 mmHg during surgery |
| D019060 | Minimally Invasive Surgical Procedures |
| D013514 | Surgical Procedures, Operative |