THE INFLUENCE OF CO2 PRESSURE IN THE LAPAROSCOPIC OR ENDOSCOPIC APPROACH TO INCISIONAL HERNIAS

Authors

  • Ana-Maria DONCIU (NICHIFOR) Ovidius” University, Constanta, Romania
  • L. GURGAS “Ovidius” University, Constanta, Romania
  • T. HANGAN “Heka” Hospital, General Surgery, Constanta, Romania

Abstract

Laparoscopic surgery is a transformative approach to surgical procedures, with significant benefits for patient recovery. However, the impact of carbon dioxide (CO2) pressure in laparoscopic incisional hernia surgery has been underexplored. Materials and methods: A retrospective analysis of 36 patients undergoing laparoscopic incisional hernia surgery over three years was conducted. Patients were categorized into lower and normal CO2 pressure groups. Post-operative factors, including pain, ileus, transit resumption, and hospital stay, were evaluated. Results: Patients in the normal CO2 pressure group reported significantly higher post-operative pain (p = 0.05) and a greater incidence of postoperative ileus (p < 0.01). Normal pressure patients also exhibited delayed transit resumption (p < 0.01). Hospital stay duration did not significantly differ (p = 0.35). Conclusions: Lower CO2 pressures during laparoscopic incisional hernia surgery are associated with lowered post-operative pain, improved gastrointestinal recovery, and a lower risk of ileus. These findings emphasize the potential benefits of optimizing CO2 pressure management to improve patient comfort and expedite recovery. This study underscores the multifaceted nature of post-operative outcomes, necessitating comprehensive assessments of surgical techniques and patient-specific factors. Enhanced CO2 pressure management holds promise for enhancing patient experiences and healthcare resource allocation.

Author Biographies

  • Ana-Maria DONCIU (NICHIFOR), Ovidius” University, Constanta, Romania

    Doctoral School
    Faculty of Medicine
    Department of Medical Informatics and Biostatistics

  • L. GURGAS, “Ovidius” University, Constanta, Romania

    Faculty of Medicine
    Department of Dermatology

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Additional Files

Published

2024-03-29

Issue

Vol. 128 No. 1 (2024): The Medical-Surgical Journal

Section

SURGERY

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