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Abdominal Compliance and Laparoscopy: A Review
BACKGROUND AND OBJECTIVES: Creating and maintaining a pneumoperitoneum to perform laparoscopy is governed by gas laws and the limiting physical constraints of the abdomen. METHODS: A review of how gas, biomechanical and physical properties affect the abdomen and a systematic structured Medline and P...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Society of Laparoendoscopic Surgeons
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383692/ https://www.ncbi.nlm.nih.gov/pubmed/30828242 http://dx.doi.org/10.4293/JSLS.2018.00080 |
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author | Ott, Douglas E. |
author_facet | Ott, Douglas E. |
author_sort | Ott, Douglas E. |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: Creating and maintaining a pneumoperitoneum to perform laparoscopy is governed by gas laws and the limiting physical constraints of the abdomen. METHODS: A review of how gas, biomechanical and physical properties affect the abdomen and a systematic structured Medline and PubMed search was conducted to identify relevant studies related to the topic. RESULTS: Abdominal compliance is a measure of ease of abdominal expansion and is determined by the elasticity of the abdominal wall and diaphragm. It is the change in intra-abdominal volume per change in intra-abdominal pressure. Caution should be exercised with pressures exceeding 12 millimeters mercury since this is defined as intra-abdominal hypertension. CONCLUSIONS: Abdominal compliance has its limits, is unique for each patient and pressure-volume curves cannot be easily predicted. Using the lowest possible pressure to accomplish the surgical task without compromising surgical outcome is the desired goal. The clinical importance is caution and knowing there is a point where more pressure does not increase working space and only increases pressure. |
format | Online Article Text |
id | pubmed-6383692 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-63836922019-03-01 Abdominal Compliance and Laparoscopy: A Review Ott, Douglas E. JSLS Review BACKGROUND AND OBJECTIVES: Creating and maintaining a pneumoperitoneum to perform laparoscopy is governed by gas laws and the limiting physical constraints of the abdomen. METHODS: A review of how gas, biomechanical and physical properties affect the abdomen and a systematic structured Medline and PubMed search was conducted to identify relevant studies related to the topic. RESULTS: Abdominal compliance is a measure of ease of abdominal expansion and is determined by the elasticity of the abdominal wall and diaphragm. It is the change in intra-abdominal volume per change in intra-abdominal pressure. Caution should be exercised with pressures exceeding 12 millimeters mercury since this is defined as intra-abdominal hypertension. CONCLUSIONS: Abdominal compliance has its limits, is unique for each patient and pressure-volume curves cannot be easily predicted. Using the lowest possible pressure to accomplish the surgical task without compromising surgical outcome is the desired goal. The clinical importance is caution and knowing there is a point where more pressure does not increase working space and only increases pressure. Society of Laparoendoscopic Surgeons 2019 /pmc/articles/PMC6383692/ /pubmed/30828242 http://dx.doi.org/10.4293/JSLS.2018.00080 Text en © 2019 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Review Ott, Douglas E. Abdominal Compliance and Laparoscopy: A Review |
title | Abdominal Compliance and Laparoscopy: A Review |
title_full | Abdominal Compliance and Laparoscopy: A Review |
title_fullStr | Abdominal Compliance and Laparoscopy: A Review |
title_full_unstemmed | Abdominal Compliance and Laparoscopy: A Review |
title_short | Abdominal Compliance and Laparoscopy: A Review |
title_sort | abdominal compliance and laparoscopy: a review |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383692/ https://www.ncbi.nlm.nih.gov/pubmed/30828242 http://dx.doi.org/10.4293/JSLS.2018.00080 |
work_keys_str_mv | AT ottdouglase abdominalcomplianceandlaparoscopyareview |