Evaluation of pelvic wedge for gynaecological laparoscopy.
Seventy-eight ASA 1 and 2 women scheduled for elective diagnostic laparoscopy under general anaesthesia were randomly allocated into two groups. Patients were either positioned with a 20 degrees Trendelenberg tilt (group T) or with a wedge placed under the pelvis (group W). A standard general anaesthetic technique was used in all patients. The endoscopic view of pelvic organs was graded on a four-point scale by the operating surgeon. Heart rate (HR), mean arterial pressure (MAP), S(p)O(2), and peak airway pressure (Paw) were continuously measured. Significantly more patients (77%) in group W had grade 1 view (clear view of pelvic organs without additional manoeuvres) when compared with group T (46%). Mean Paw increased significantly in group T when compared with group W. The use of a pelvic wedge provides a better view of pelvic viscera than 20 degrees Trendelenberg tilt during gynaecological laparoscopy.
Kundra
P
P
Department of Anaesthesiology and Critical Care, Jawaharial Institute of Postgraduate Medical Education and Research, Pondicherry, India. p_kundra@hotmail.com
Kanna
V
V
Bupathi
A
A
Sudeep
K
K
D000328:Adult; D000403:Airway Resistance; D000768:Anesthesia, General; D001794:Blood Pressure; D005260:Female; D018475:Head-Down Tilt; D006339:Heart Rate; D006801:Humans; D007247:Infertility, Female / Q000175:diagnosis; D007430:Intraoperative Care / Q000295:instrumentation* / Q000379:methods; D010535:Laparoscopy / Q000379:methods*; D011187:Posture