Original ArticleLow vs Standard Pneumoperitoneum Pressure During Laparoscopic Hysterectomy: Prospective Randomized Trial
Section snippets
Materials and Methods
The study was performed at the Department of Obstetrics and Gynaecology of the University of Insubria (Varese, Italy) between June 4 and August 23, 2013. Approval of the Azienda Ospedaliero, Universitaria Ospedale di Circolo, Macchi Foundation, Ethics Committee was obtained, and all patients gave consent for the procedure and for use of their personal information for health research. Patients scheduled to undergo MLH were invited to participate in the study. Inclusion criteria were age
Results
Forty-five patients were included in the study. MLH was performed using LPP in 22 patients (49%), and LPP in 23 (51%). Three patients (7%) who were lost to follow-up were excluded from the analysis, leaving 20 (48%) and 22 (52%) patients in the LPP and SPP groups, respectively. There were no significant differences in demographic characteristics between groups (Table 1). The primary surgical indication was uterine myomas, accounting overall for 81% of all indications, followed by endometrial
Discussion
In the present study we analyzed how the use of different intra-abdominal pressure influences surgical-related outcomes in patients undergoing MLH, and demonstrated a number of noteworthy findings, as follows. LPP is safe and applicable during performance of MLH. Compared with SPP, use of LPP reduces both the incidence and severity of shoulder-tip pain. LPP is related to a 2-fold reduction in the need for postoperative analgesic rescue. Overall, patients undergoing MLH experience low pain
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The authors declare no conflicts of interest.