![](/imgs/covers/ma_cover.jpg)
|
Journal of Minimal Access Surgery
Medknow Publications
ISSN: 0972-9941 EISSN: 0972-9941
Vol. 6, No. 4, 2010, pp. 91-94
|
Bioline Code: ma10027
Full paper language: English
Document type: Review Article
Document available free of charge
|
|
Journal of Minimal Access Surgery, Vol. 6, No. 4, 2010, pp. 91-94
en |
Secrets of safe laparoscopic surgery: Anaesthetic and surgical considerations
Srivastava, Arati & Niranjan, Ashutosh
Abstract
In recent years, laparoscopic surgery has gained popularity in clinical practice. The key element in laparoscopic surgery is creation of pneumoperitoneum and carbon dioxide is commonly used for insufflation. This pneumoperitoneum perils the normal cardiopulmonary system to a considerable extent. Every laparoscopic surgeon should understand the consequences of pneumoperitoneum; so that its untoward effects can be averted. Pneumoperitoneum increases pressure on diaphragm, leading to its cephalic displacement and thereby decreasing venous return, which can be aggravated by the position of patient during surgery. There is no absolute contraindication of laparoscopic surgery, though we can anticipate some problems in conditions like obesity, pregnancy and previous abdominal surgery. This review discusses some aspects of the pathophysiology of carbon dioxide induced pneumoperitoneum, its consequences as well as strategies to counteract them. Also, we propose certain guidelines for safe laparoscopic surgery.
Keywords
Obesity, pneumoperitoneum, pregnancy, previous surgery, safe laparoscopy
|
|
© Copyright 2010 Journal of Minimal Access Surgery. Alternative site location: http://www.journalofmas.com/
|
|