Influence of adhesive drapes on intraperitoneal volume and pressure during laparoscopy.
BACKGROUND
The influence of adhesive skin drapes on abdominal wall compliance during laparoscopy has not previously been studied.


METHODS
The effect of removing an adhesive abdominal drape on intraperitoneal volume and pressure was studied in 15 patients undergoing a variety of laparoscopic procedures. The internal consistency of this data was evaluated by comparing the observed response to that which was predicted from analysis based on the theory of elasticity.


RESULTS
Removal of an adhesive skin drape after induction of a 15-mmHg pneumoperitoneum was associated with changes in intraperitoneal pressure and volume. These changes were statistically significant, highly predictable and clinically relevant.


CONCLUSIONS
On the basis of the present observations, we recommend that extensive coverage by adhesive drapes should be avoided for those patients or procedures in which elevated intraperitoneal pressure may be particularly deleterious.
Department of Transplantation and Colorectal Surgery, The Queen Elizabeth Hospital and Centre for Industrial and Applicable Mathematics, University of South Australia, South Australia, Australia. siddinsmark@hotmail.com
Mark
M
Siddins
John
J
Boland
Marcus
M
Riederer
Burapa
B
Kanchanabat
M Mohan
MM
Rao
Peter
P
Hewett
D034861:Abdominal Wall / Q000503:physiopathology*; D000328:Adult; D000368:Aged; D001458:Bandages / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007327:Insufflation; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D010529:Peritoneal Cavity / Q000503:physiopathology*; D011027:Pneumoperitoneum / Q000209:etiology* / Q000503:physiopathology*; D014014:Tissue Adhesives / Q000009:adverse effects*
D014014:Tissue Adhesives