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http://dx.doi.org/10.1055/a-1559-2120DOI Listing

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Introduction: Portal hypertension is a common complication of liver cirrhosis. Varices are dilated collaterals that develop as a result of portal hypertension at the level of the porto-systemic connections and can cause a shift in the blood flow from high to low pressure. Common locations for porto-systemic shunts are the lower oesophagus and the gastric fundus.

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Post-laparoscopic Shoulder Pain Management: A Narrative Review.

Curr Pain Headache Rep

January 2025

Department of Anesthesiology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, People's Republic of China.

Purpose Of Review: Post-laparoscopic shoulder pain (PLSP) can slow patient recovery and extend hospital stays, making its management crucial for patients undergoing laparoscopic surgery. Current consensus guidelines say little about how to prevent or manage PLSP. In this context, a multimodal approach to PLSP management that maybe extend beyond the pharmaceutical interventions currently employed.

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Low vs. conventional intra-abdominal pressure in laparoscopic colorectal surgery: a prospective cohort study.

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December 2024

Department of General and Colorectal Surgery, Dudley Group NHS Foundation Trust, Russells Hall Hospital, Dudley, West Midlands, UK.

Purpose: Low intraabdominal pressure (IAP) during laparoscopy is associated with improved post-operative outcomes across a variety of surgical specialties. A prospective cohort study was undertaken to assess post-operative outcomes in patients undergoing laparoscopic colorectal surgery (LCRS) with low (8mmHg) versus conventional (15mmHg) IAP.

Methods: A prospective real-world observational study of patients undergoing LCRS in a single-centre, between June 2020 and June 2023 was performed.

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Article Synopsis
  • This study investigates the feasibility and pulmonary effects of low-pressure laparoscopic cholecystectomy (LPLC) for patients with cardiopulmonary comorbidities compared to standard-pressure laparoscopic cholecystectomy (SPLC).
  • It includes a multicenter, randomized controlled trial involving 144 patients, who were assigned to either the LPLC or SPLC group, focusing on postoperative carbon dioxide levels and other surgical outcomes.
  • Results showed no significant difference in carbon dioxide levels or pulmonary function between the groups, indicating that LPLC is a safe and feasible option for these patients.
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