Background: To find the effects of mechanical bowel preparation (MBP)
on operative field visualization, and to measure pneumoperitoneum pressure (PP)
and Trendelenburg inclination angle (TIA) values. Methods: In this
two-centred, randomised, single-blind and controlled study, 90 patients who
underwent laparoscopic gynaecological surgery for benign conditions were
included. After the exclusions, 44 patients received MBP with oral sodium
phosphate enema (study group) and 42 did not receive bowel preparation or
underwent diet restrictions (control group). An objective visual index, PP and
TIA were measured in a stepwise design of assessments. Results: The
Visual Index at first inspection right after establishing a 12 mmHg PP and a
standard 30
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Original Research
Mechanical bowel preparation prior to gynaecological laparoscopy enables better operative field visualization, lower pneumoperitoneum pressure and Trendelenburg angle during the surgery: a perspective that may add to patient safety
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1
Department of Obstetrics and Gynaecology, Koc University Hospital, 34010 Istanbul, Turkey
2
Department of Obstetrics and Gynaecology, Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital, 34785 Istanbul, Turkey
3
Department of Obstetrics and Gynaecology, Ondokuz Mayis University Faculty of Medicine, 55270 Samsun, Turkey
4
IVF & MIGS Unit, Medicana Samsun International Hospital, 55080 Samsun, Turkey
*Correspondence: uzekal@hotmail.com (Üzeyir Kalkan)
Clin. Exp. Obstet. Gynecol. 2021, 48(4), 842–850;
https://doi.org/10.31083/j.ceog4804134
Submitted: 5 January 2021 | Revised: 6 February 2021 | Accepted: 19 February 2021 | Published: 15 August 2021
Copyright: © 2021 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/).
Abstract
Keywords
Laparoscopy
Mechanical bowel preparation
Pneumoperitoneum pressure
Trendelenburg angle
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