Document Detail


Arterial blood gases in extraperitoneal laparoscopic urethrocystopexy.
MedLine Citation:
PMID:  12225337     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of this study was to investigate the effects of extraperitoneal laparoscopy and carbon dioxide insufflation on hemodynamic parameters, arterial blood gases and complications in urethrocystopexy operations. METHODS: Twenty-five female patients who underwent extraperitoneal laparoscopic mesh urethrocystopexy operation for the correction of urinary incontinence were allocated to the study. Hemodynamic parameters were noted and blood gas analyzes were performed before the induction of anesthesia, 10 min after induction, 5 and 10 min after the beginning of carbon dioxide insufflation, at the end of carbon dioxide insufflation and 30 min after exsufflation. RESULTS: There was no significant change in mean arterial pressure, peripheral oxygen saturation, arterial carbon dioxide pressure, and arterial oxygen saturation compared to preinsufflation and preinduction values. End-tidal carbon dioxide pressure did not increase above 45 mm/Hg during carbon dioxide insufflation. Arterial oxygen saturation and partial oxygen pressure did not decrease. Subcutaneous emphysema, pneumothorax, pneumomediastinum and pleural effusion were not noted in any patient. CONCLUSION: We conclude that, extraperitoneal laparoscopic urethrocystopexy is not associated with hemodynamic and respiratory impairment.
Authors:
Hasan Kocoglu; Sitki Goksu; Ahmet Erbagci; Lutfiye Pirbudak; Mustafa Sahin Yuksek; Unsal Oner
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  International journal of urology : official journal of the Japanese Urological Association     Volume:  9     ISSN:  0919-8172     ISO Abbreviation:  Int. J. Urol.     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-09-12     Completed Date:  2003-03-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9440237     Medline TA:  Int J Urol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  422-6     Citation Subset:  IM    
Affiliation:
University of Gaziantep, Faculty of Medicine, Department of Anesthesiology, Gaziantep, Turkey. hkocoglu@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Blood Gas Analysis*
Carbon Dioxide / blood
Female
Humans
Insufflation
Laparoscopy*
Middle Aged
Monitoring, Intraoperative
Oxygen / blood
Urethra / surgery
Urinary Bladder / surgery
Urinary Incontinence, Stress / blood,  surgery*
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide; 7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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