University of Hertfordshire

From the same journal

By the same authors

  • Alexander West
  • John Hayes
  • D E Bernstein
  • Mahesh Krishnamoorthy
  • Steven Lathers
  • Gary Tegan
  • Jeremy Yuen-Chun Teoh
  • Prokar Dasgupta
  • Nikhil Vasdev
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Original languageEnglish
JournalBJU International
Publication statusPublished - 4 Oct 2021

Abstract

Abstract:
Introduction: Reduced pneumoperitoneum pressure has been shown to reduce postoperative pain and length of stay within the field of general surgery. There are multiple Urological operations that use laparoscopic technique using pneumoperitoneum. This paper systematically reviews the literature on the clinical effects of pneumoperitoneum pressure in urological operations.
Method: Two authors independently searched the databases embase, pubmed and medline to identify relevant studies that met the inclusion criteria. The data was extracted and presented within the paper.
Results: 10 studies met the inclusion criteria and were discussed in the paper. All papers agreed that low pressure pneumoperitoneum was non-inferior to high pressure pneumoperitoneum. There was evidence within several papers that there is less postoperative pain and rates of ileus when low pressure is used but the data was not significant.
Conclusion: Low pressure pneumoperitoneum is non inferior to high pressure pneumoperitoneum in urological operations and there is perceived reduction in pain and rates of ileus associated with it. More research is needed to validate this finding particularly in cystectomy and nephrectomy.

ID: 26073713