Patient-Related Factors Predicting Workspace Conditions during Laparoscopic Bariatric Surgery

Obesity Surgery
Paola AcetoLiliana Sollazzi

Abstract

Previous studies have focused on the role of deep neuromuscular blockade (NMB) in improving surgical conditions during laparoscopic bariatric surgery. However, a wide inter-individual variability has been noted. The aim of this study was to identify patient-related factors affecting surgeon satisfaction with the surgical space and surgery duration in laparoscopic bariatric surgery under deep NMB. One hundred eighty-five patients scheduled for laparoscopic gastric bypass were enrolled. Anesthesia was standardized. A deep NMB was maintained together with fixed patient positioning (30 reverse Trendelenburg) and constant pneumoperitoneum pressure (14 mmHg) during the whole surgical procedure. Immediately after surgery, the surgeon was invited to state his satisfaction with the surgical space through a verbal numeric scale (VNS) ranging from 0 (extremely poor) to 10 (optimal). VNS score was negatively correlated with male gender (r = - 0.35; p = 0.0001), BMI (r = - 0.16; p = 0.03), and age (r = - 0.20; p = 0.008). Surgery duration was positively correlated with male gender (r = 0.27; p = 0.0003) and BMI (r = 0.22; p = 0.006). Multivariate linear regressions showed that lower VNS scores were predicted by male gender (p = 0.000001) an...Continue Reading

References

Jul 7, 2009·Ageing Research Reviews·Jennifer L KukRobert Ross
Mar 18, 2010·Anesthesiology·Benoît PlaudJean Marty
Jul 3, 2013·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Paola AcetoLiliana Sollazzi
Feb 6, 2016·Age·Magdalena Jura, Leslie P Kozak

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Citations

Apr 3, 2019·Minerva anestesiologica·Paola AcetoUNKNOWN Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva (SIAARTI), Società Italiana di Ginecologia e Ostetr
Jan 7, 2020·The British Journal of Surgery·M CarronM Foletto

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