Intraperitoneal temperature and desiccation during endoscopic surgery : Intraoperative humidification and cooling of the peritoneal cavity can reduce adhesions - 01/10/11
Résumé |
This study was conducted to document quantitatively the intraperitoneal temperature and desiccation during laparoscopic surgery. The temperature, relative humidity, and flow rate were measured in vitro and during laparoscopic surgery, at the entrance and at the exit of the abdomen. This permitted us to calculate desiccation for various flow rates using either dry CO2 or CO2 humidified with 100% relative humidity at any preset temperature between 25 and 37°C. The study showed that desiccation, both in vitro and in vivo, varies as expected with the flow rates and relative humidity while intraperitoneal temperature varies mainly with desiccation. Temperature regulation of bowels is specific and drops to the intraperitoneal temperature without affecting core body temperature. With a modified humidifier, desiccation could be eliminated while maintaining the intraperitoneal temperature between 31 to 32°C.
Le texte complet de cet article est disponible en PDF.Key words : core body temperature, desiccation, intraperitoneal temperature, laparoscopy, relative humidity
Plan
| Karl Storz GmbH & Co.KG (Tuttlingen, Germany) provided a humidifier and endoscopic equipment; Fisher and Paykel Healthcare Ltd (Auckland, New Zealand) provided a humidifier; and eSaturnus NV (Leuven, Belgium) provided equipment to measure relative humidity and temperature, a modified humidifier, and an instrument for cooling. |
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| R.K. is an employee of eSaturnus NV, which provided equipment. R.C., J.V., K.M., M.M.B., and P.R.K. report no conflict of interest. |
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| Cite this article as: Corona R, Verguts J, Koninckx R, et al. Intraperitoneal temperature and desiccation during endoscopic surgery. Am J Obstet Gynecol 2011;205:392.e1-7. |
Vol 205 - N° 4
P. 392.e1-392.e7 - octobre 2011 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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