Evaluation of the Histhomorphological Changes of Intraperitoneal CO2 Pressure Increase on Kidney, Pancreas, Liver and Spleen during Laparoscopic Operations in Dog
Subject Areas : Journal of Large Animal Clinical Science Research(JLACSR)
Keywords: liver, kidney, pancreas, spleen, CO2, : Laparoscopy, intraperitoneal pressure,
Abstract :
During laparoscopy, a working space is established by continuous insufflating an inert gas in the peritoneal cavity whose volume should be large enough to facilitate surgery without increasing intra-abdominal pressure (IAP) over a threshold limit (usually 15 mm Hg). The most commonly used gas is CO2, since it permits safe electrocautery and is rapidly absorbed and dissolved into blood, thus minimizing the risk of gas embolism. Twenty female mixed breed dogs which chose for an experimental procedure were prepared. Average of weight was 20 ± 3 kilograms and average recorded of age was 18 ± 1.2 months. They randomly divided to two groups (n10). In control group the intraabdominal pressure was maintained 12 mm/Hg and in test group 20 mm/Hg during the operation. Histopathologic evaluations revealed more pathological changes at the kidney of all the dogs in test group (intraabdominal pressure: 20 mm/Hg) in comparison to control group (intraabdominal pressure: 12 mm/Hg). Findings showed that, the organs with fewer numbers (1 or 2) of arteries and veins are more susceptible to increased intra-abdominal pressure.
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