Biomaterial Database

Perspectives in sequential pneumatic compression of the lower extremities (SCD) for laparoscopic surgery. 2002

W Schwenk, and O Haase, and T Junghans

Department of General-, Visceral-, Vascular- and Thoracic Surgery, Medical Faculty of the Humboldt-University, Berlin. wolfgang.schwenk@charite.de

During most cases of laparoscopic surgery, a pneumoperitoneum of 12-14 mm Hg CO2 is established. Although not always detected in healthy patients, a pneumoperitoneum will cause clinically relevant pathophysiological changes. Among other side effects, a pneumoperitoneum will alter the venous blood return from the lower extremities and depress cardiac function. Results from experimental and clinical studies concerning the influence of a pneumoperitoneum on venous blood return and cardiac function are reviewed and a simple model of cardiac function impairment during laparoscopic surgery with a pneumoperitoneum is presented. Sequential pneumatic compression of the lower extremities is effective in reducing venous stasis during and after conventional surgery. Several clinical trials determined the hemodynamic effect of intraoperative SCD (sequential compression device) during laparoscopic surgery. In the following text the results of these studies are summarized and possible implications for the clinical use of SCD in laparoscopic surgery are discussed. Although potential benefits of SCD-therapy have been shown only in studies of low methodological quality, intraoperative SCD-therapy is recommended during prolonged laparoscopic surgery.

UI	MeSH Term	Description	Entries
D007866	Leg	The inferior part of the lower extremity between the KNEE and the ANKLE.	Legs
D010535	Laparoscopy	A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.	Celioscopy,Laparoscopic Surgical Procedures,Peritoneoscopy,Surgical Procedures, Laparoscopic,Laparoscopic Assisted Surgery,Laparoscopic Surgery,Laparoscopic Surgical Procedure,Procedure, Laparoscopic Surgical,Procedures, Laparoscopic Surgical,Surgery, Laparoscopic,Surgical Procedure, Laparoscopic,Celioscopies,Laparoscopic Assisted Surgeries,Laparoscopic Surgeries,Laparoscopies,Peritoneoscopies,Surgeries, Laparoscopic,Surgeries, Laparoscopic Assisted,Surgery, Laparoscopic Assisted
D011028	Pneumoperitoneum, Artificial	Deliberate introduction of air into the peritoneal cavity.	Artificial Pneumoperitoneum
D002318	Cardiovascular Diseases	Pathological conditions involving the CARDIOVASCULAR SYSTEM including the HEART; the BLOOD VESSELS; or the PERICARDIUM.	Adverse Cardiac Event,Cardiac Events,Major Adverse Cardiac Events,Adverse Cardiac Events,Cardiac Event,Cardiac Event, Adverse,Cardiac Events, Adverse,Cardiovascular Disease,Disease, Cardiovascular,Event, Cardiac
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001291	Attitude of Health Personnel	Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.	Staff Attitude,Attitude, Staff,Attitudes, Staff,Health Personnel Attitude,Health Personnel Attitudes,Staff Attitudes
D016491	Peripheral Vascular Diseases	Pathological processes involving any one of the BLOOD VESSELS in the vasculature outside the HEART.	Peripheral Angiopathies,Vascular Diseases, Peripheral,Diseases, Peripheral Vascular,Angiopathies, Peripheral,Angiopathy, Peripheral,Disease, Peripheral Vascular,Peripheral Angiopathy,Peripheral Vascular Disease,Vascular Disease, Peripheral