Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry

ÖZDEMİR, Özgür; ERCAN, Önder; KÖSTÜ, Bülent; ÖZER, Alev; AVCI, Fazıl; BAKACAK, SÜLEYMAN MURAT

Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry

Bülent KÖSTÜ, (Kahramanmaraş Sütçü İmam Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Kahramanmaraş, Türkiye)

Önder ERCAN, (Kahramanmaraş Sütçü İmam Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Kahramanmaraş, Türkiye)

Alev ÖZER, (Kahramanmaraş Sütçü İmam Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Kahramanmaraş, Türkiye)

SÜLEYMAN MURAT BAKACAK, (Kahramanmaraş Sütçü İmam Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Kahramanmaraş, Türkiye)

Özgür ÖZDEMİR, (Antalya Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Antalya, Türkiye)

Fazıl AVCI (Akşehir Devlet Hastanesi, Konya, Türkiye)

Journal of Clinical and Analytical Medicine

7 0

Yıl: 2016 Cilt: 7 Sayı: 6 Sayfa Aralığı: 824 - 827 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry

Öz:

Amaç: Laparoskopide kapalı girişte eksternal supraumbilikal bası tekniğinin güvenilirliğinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Bu prospektif çalışmada toplam 65 hasta 3 gruba randomize edildi: Grup 1 (n=22), kapalı laparoskopik girişte CO2 insuflasyonu ile oluşturulmuş 15 mm Hg intraabdominal basınç (İAB), Grup 2 (n=22), supraumbilikal bası ve CO2 insuflasyonunun kombine kullanımı ile oluşturulmuş 25 mm Hg İAB, Grup 3 (n=21), CO2 insuflasyonu ile oluşturulmuş 25 mmHg İAB. Gruplar, CO2 insuflasyon hacmi, pnömoperiton mesafesi, operasyona başlama-trokar girişi arasındaki süre ve cerrahi komplikasyonlar açısından karşılaştırıldı. Bulgular: Grup 1, 2 ve 3'teki pnömoperiton mesafesi sırasıyla 8.4, 7, 11.2 cm olarak saptandı (p<0.001 Grup 1 vs 2, Grup 2 vs 3, Grup 1 vs 3). Grup 1, 2 ve 3'teki operasyona başlama-trokar girişi arasındaki süre sırasıyla 377.2, 365.4 and 463.5 saniye olarak belirlendi (Grup 1 vs 3 ve Grup 2 vs 3 için p<0.001, Grup 1 vs 2 için p=0.838). Grup 3'teki CO2 insuflasyon hacmi Grup1 ve 2 ile karşılaştırıldığında anlamlı olarak daha yüksekti (Grup 1 vs 3 ve Grup 2 vs 3 için p < 0.001). Cerrahi komplikasyon oranları açısından gruplar istatiksel olarak benzerdi (p=0.128). Tartışma: Klasik kapalı giriş teknikleriyle karşılaştırıldığında, ekternal bası tekniğindeki kısa pnömoperiton mesafesi bu tekniğin güvenilirliğinde potensiyel bir azalmaya neden olabilir.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Kapalı Laparoskopik Girişte Supraumbilikal Bası Tekniğinin Güvenilirliğinin Değerlendirilmesi

Öz:

Aim: It was aimed to assess the safety of the external supraumbilical compression technique in closed entry in laparoscopy. Material and Method: In this prospective study, a total of 65 patients were randomised into 3 groups; Group 1 (n=22) with closed laparoscopic entry with an intraabdominal pressure (IAP) of 15 mmHg obtained by CO2 insufflation, Group 2 (n=22) with an IAP of 25 mmHg obtained by combined usage of supraumbilical compression and CO2 insufflation and Group 3 (n=21) with an IAP of 25 mmHg achieved by CO2 insufflation alone. Groups were compared in respect of the insufflated volume of CO2, pneumoperitoneum distances, operation onset-to-trocar entry interval, and surgical complications. Results: The pneumoperitoneum distance was determined as 8.4, 7, 11.2 cm in Groups 1, 2 and 3 respectively (p<0.001 in Groups 1 vs 2, Groups 2 vs 3, Groups 1 vs 3). Operation onsetto-trocar entry interval was 377.2, 365.4 and 463.5 seconds in Groups 1, 2 and 3 respectively (p<0.001 in Groups 1 vs 3 and Groups 2 vs 3 , p=0.838 in Groups 1 vs 2). Insufflated volume of CO2 in Group 2 was statistically significantly higher compared to Gropus 1 and 2 (p < 0.001 in Groups 1 vs 3 and Groups 2 vs 3). Groups were statistically similar regarding the rate of surgical complications (p=0.128). Discussion: Compare to classic closed entry techniques, the external compression technique is associated with a shortened pneumoperitoneum distance which may result in a potential decrease in its safety.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KÖSTÜ B, ERCAN Ö, ÖZER A, BAKACAK S, ÖZDEMİR Ö, AVCI F (2016). Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry. , 824 - 827.
Chicago	KÖSTÜ Bülent,ERCAN Önder,ÖZER Alev,BAKACAK SÜLEYMAN MURAT,ÖZDEMİR Özgür,AVCI Fazıl Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry. (2016): 824 - 827.
MLA	KÖSTÜ Bülent,ERCAN Önder,ÖZER Alev,BAKACAK SÜLEYMAN MURAT,ÖZDEMİR Özgür,AVCI Fazıl Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry. , 2016, ss.824 - 827.
AMA	KÖSTÜ B,ERCAN Ö,ÖZER A,BAKACAK S,ÖZDEMİR Ö,AVCI F Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry. . 2016; 824 - 827.
Vancouver	KÖSTÜ B,ERCAN Ö,ÖZER A,BAKACAK S,ÖZDEMİR Ö,AVCI F Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry. . 2016; 824 - 827.
IEEE	KÖSTÜ B,ERCAN Ö,ÖZER A,BAKACAK S,ÖZDEMİR Ö,AVCI F "Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry." , ss.824 - 827, 2016.
ISNAD	KÖSTÜ, Bülent vd. "Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry". (2016), 824-827.

APA	KÖSTÜ B, ERCAN Ö, ÖZER A, BAKACAK S, ÖZDEMİR Ö, AVCI F (2016). Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry. Journal of Clinical and Analytical Medicine, 7(6), 824 - 827.
Chicago	KÖSTÜ Bülent,ERCAN Önder,ÖZER Alev,BAKACAK SÜLEYMAN MURAT,ÖZDEMİR Özgür,AVCI Fazıl Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry. Journal of Clinical and Analytical Medicine 7, no.6 (2016): 824 - 827.
MLA	KÖSTÜ Bülent,ERCAN Önder,ÖZER Alev,BAKACAK SÜLEYMAN MURAT,ÖZDEMİR Özgür,AVCI Fazıl Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry. Journal of Clinical and Analytical Medicine, vol.7, no.6, 2016, ss.824 - 827.
AMA	KÖSTÜ B,ERCAN Ö,ÖZER A,BAKACAK S,ÖZDEMİR Ö,AVCI F Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry. Journal of Clinical and Analytical Medicine. 2016; 7(6): 824 - 827.
Vancouver	KÖSTÜ B,ERCAN Ö,ÖZER A,BAKACAK S,ÖZDEMİR Ö,AVCI F Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry. Journal of Clinical and Analytical Medicine. 2016; 7(6): 824 - 827.
IEEE	KÖSTÜ B,ERCAN Ö,ÖZER A,BAKACAK S,ÖZDEMİR Ö,AVCI F "Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry." Journal of Clinical and Analytical Medicine, 7, ss.824 - 827, 2016.
ISNAD	KÖSTÜ, Bülent vd. "Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry". Journal of Clinical and Analytical Medicine 7/6 (2016), 824-827.