Effect of Intra-abdominal Pressure Rise on Hematological Parameters in Laparoscopic Urologic Surgery

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
Alper BitkinMustafa Kemal Atilla

Abstract

To determine the potential utility of hematological parameters in the diagnosis of intra-abdominal hypertension (IAH). Cross-sectional descriptive study. Health Sciences University, Samsun Training and Research Hospital, Samsun, Turkey, from January 2016 to July 2017. Forty-two patients who underwent transperitoneal laparoscopic urologic surgery were included. Blood samples were obtained during periods of pre-insufflation, insufflation, and desufflation to determine the effects of increased intraabdominal pressure (IAP) on hematological parameters, respectively. Leukocyte and neutrophil median values changed with time (p<0.001). The median pre-insufflation, insufflation, and desufflation values for leukocytes were 6.3 fL (4.2-7.8 fL), 7.2 fL (4.4-9.9 fL), and 8.1 fL (4.9-13.5 fL), respectively. In the pre-insufflation period, the median value for neutrophils was 3.7 x 103 &micro;L (2.0-6.2 x 103 &micro;L), increasing 5.1 x 103 &micro;L (2.1-9.7 x 103 &micro;L) during insufflation and 6.1 × 103 &micro;L (3.1-10.0 x 103 &micro;L) during desufflation. The median values obtained in pre-insufflation period were significantly lower than those recorded in the other periods. There was no difference between the median values obtained du...Continue Reading

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