Arterial blood gases in extraperitoneal laparoscopic urethrocystopexy.
BACKGROUND
The aim of this study was to investigate the effects of extraperitoneal laparoscopy and carbon dioxide insufflation on hemodynamic parameters, arterial blood gases and complications in urethrocystopexy operations.


METHODS
Twenty-five female patients who underwent extraperitoneal laparoscopic mesh urethrocystopexy operation for the correction of urinary incontinence were allocated to the study. Hemodynamic parameters were noted and blood gas analyzes were performed before the induction of anesthesia, 10 min after induction, 5 and 10 min after the beginning of carbon dioxide insufflation, at the end of carbon dioxide insufflation and 30 min after exsufflation.


RESULTS
There was no significant change in mean arterial pressure, peripheral oxygen saturation, arterial carbon dioxide pressure, and arterial oxygen saturation compared to preinsufflation and preinduction values. End-tidal carbon dioxide pressure did not increase above 45 mm/Hg during carbon dioxide insufflation. Arterial oxygen saturation and partial oxygen pressure did not decrease. Subcutaneous emphysema, pneumothorax, pneumomediastinum and pleural effusion were not noted in any patient.


CONCLUSIONS
We conclude that, extraperitoneal laparoscopic urethrocystopexy is not associated with hemodynamic and respiratory impairment.
Kocoglu
Hasan
H
University of Gaziantep, Faculty of Medicine, Department of Anesthesiology, Gaziantep, Turkey. hkocoglu@hotmail.com
Goksu
Sitki
S
Erbagci
Ahmet
A
Pirbudak
Lutfiye
L
Yuksek
Mustafa Sahin
MS
Oner
Unsal
U
D001784:Blood Gas Analysis; D002245:Carbon Dioxide / Q000097:blood; D005260:Female; D006801:Humans; D007327:Insufflation; D010535:Laparoscopy; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D010100:Oxygen / Q000097:blood; D014521:Urethra / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000097:blood / Q000601:surgery*
D002245:Carbon Dioxide; D010100:Oxygen