Abstract
Backgrounds
Gallbladder stones are a common health problem in developed countries, and the laparoscopic surgical method is widely used for treatment. It is important to identify surgical techniques that can reduce complications during and after surgery.
Methods
This study included 100 patients, with 50 in the intervention group who underwent surgery with stepwise increased intra-abdominal pressure, and 50 in the control group who had surgery with 15 mmHg pressure. Demographic information was recorded, and hemodynamic changes during surgery and postoperative complications were documented. Data was compared using independent t-tests, ANOVA, and Chi-square tests.
Results
The results of our study showed that the intervention group had significantly more stable mean heart rate and blood pressure (systolic, diastolic, and mean arterial pressure) during surgery compared to the control group. The intervention group also had significantly lower frequency of nausea, mean pain, and administration of the analgesic Pethidine during recovery. However, there were no significant differences between the two study groups in mean arterial oxygen saturation during surgery, duration of hospital stay in recovery, frequency of vomiting, and headache.
Conclusion
Based on our findings, it is recommended to increase intra-abdominal pressure using the stepwise method employed in our study for all patients undergoing cholecystectomy. This can help achieve hemodynamic stability during surgery, reduce pain in patients, and improve the overall quality of treatment.