Laparoscopic surgery is widely used now. These benefits included many items, e.g. reducing post-operative pain, cosmetic the result was improved, and the patient also had more satisfaction for the patient and reduced hospital stay. This surgery involved insufflation of gas into the peritoneal cavity, producing pneumoperitoneum, and causing an increase in intra-abdominal pressure. The raised intraabdominal pressure of the pneumoperitoneum, the patient's position alteration, and the absorption of carbon dioxide into the abdomen have a direct effect on causing a change in physiology, especially in the cardiovascular and respiratory systems. These effects, as well as a direct effect of gas insufflation, may have significant effects on the patient especially if the patient has a comorbidity or is elderly.
Age range
20 Years – 60 Years
Sex
ALL
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A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
blood pressure.
Timeframe: during preoperative, 5 minute, intraoperative every five minute with post operative read after one hour
AST and ALT liver enzymes were measured, by blood samples taken intravenously in the perioperative period
Timeframe: 5 minute pre-operation and 5 minute postoperative
blood sugar, should measured and assessed with different groups
Timeframe: 5 minute during pre-operative and 15 minute post- operative period
end-tidal Co2, measured and compared statistically with other parameter
Timeframe: perioperatively every 5 minute
pulse rate measured continuously during intra-operative and compared with other hemodynamic parameter
Timeframe: 5 minute during preoperative, and continue every 5 minute in perioperatively