The Effects of 3 Different Intra-abdominal Pressures on the Thromboelastographic Profile During Laparoscopic Cholecystectomy

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dc.contributor.authorTopal, Ahmet
dc.contributor.authorCelik, Jale Bengi
dc.contributor.authorTekin, Ahmet
dc.contributor.authorYuceaktas, Ali
dc.contributor.authorOtelcioglu, Seref
dc.date.accessioned2020-03-26T18:16:46Z
dc.date.available2020-03-26T18:16:46Z
dc.date.issued2011
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective: The aim was to determine the influence of the pneumoperitoneum at 10, 13, and 16mm Hg on thromboelastograph (TEG) in laparoscopic cholecystectomy. Methods: Sixty patients were randomly allocated to 3 groups. The abdomen was insufflated with carbon dioxide to 10mm Hg (group 1), 13mm Hg (group 2), and 16mm Hg (group 3) intra-abdominal pressures. We evaluated changes in the TEG values [ reaction time (R), maximum amplitude (MA), alpha-angle, K time] preoperatively, intraoperatively, and postoperatively. Results: In the postoperative 24th hour, the R-value was significantly lower in group 3 than that in group 1 and group 2 (P< 0.05). We found increased values of MA intraoperative 30th minute and postoperative 24th hour in group 3 with respect to group 1 (P< 0.05) and postoperative 24th hour, and the MA value in group 3 was significantly higher than those of group 2 (P< 0.05). In group 3, the alpha-angle was significantly higher than that of group 1 and group 2 at intraoperative 30th minute and postoperative 24th hour (P< 0.05). In postoperative 24th hour, the K-value was significantly lower in group 3 than in group 2 and group 1 (P< 0.05). Conclusions: Laparoscopy with pneumoperitoneum at pressures of 10 and 13mm Hg did not alter the TEG values and low intra-abdominal pressure must be used for peritoneal insufflation.en_US
dc.identifier.doi10.1097/SLE.0b013e3182397863en_US
dc.identifier.endpage438en_US
dc.identifier.issn1530-4515en_US
dc.identifier.issue6en_US
dc.identifier.pmid22146167en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage434en_US
dc.identifier.urihttps://dx.doi.org/10.1097/SLE.0b013e3182397863
dc.identifier.urihttps://hdl.handle.net/20.500.12395/26925
dc.identifier.volume21en_US
dc.identifier.wosWOS:000298143700026en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.ispartofSURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUESen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectlaparoscopyen_US
dc.subjectcholecystectomyen_US
dc.subjectthromboelastographen_US
dc.titleThe Effects of 3 Different Intra-abdominal Pressures on the Thromboelastographic Profile During Laparoscopic Cholecystectomyen_US
dc.typeArticleen_US

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