Premium
Evaluation of pelvic wedge for gynaecological laparoscopy
Author(s) -
Kundra P.,
Kanna V.,
Bupathi A.,
Sudeep K.
Publication year - 2008
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2008.05578.x
Subject(s) - medicine , laparoscopy , pelvis , surgery , general anaesthesia , pelvic tilt , pelvic floor , wedge (geometry) , anesthesia , physics , optics
Summary Seventy‐eight ASA 1 and 2 women scheduled for elective diagnostic laparoscopy under general anaesthesia were randomly allocated into two groups. Patients were either positioned with a 20° Trendelenberg tilt (group T) or with a wedge placed under the pelvis (group W). A standard general anaesthetic technique was used in all patients. The endoscopic view of pelvic organs was graded on a four‐point scale by the operating surgeon. Heart rate (HR), mean arterial pressure (MAP), S p O 2 , and peak airway pressure (Paw) were continuously measured. Significantly more patients (77%) in group W had grade 1 view (clear view of pelvic organs without additional manoeuvres) when compared with group T (46%). Mean Paw increased significantly in group T when compared with group W. The use of a pelvic wedge provides a better view of pelvic viscera than 20° Trendelenberg tilt during gynaecological laparoscopy.