scholarly journals Laparoscopic Surgery Can Reduce Postoperative Edema Compared with Open Surgery

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Dong Guo ◽  
Jianfeng Gong ◽  
Lei Cao ◽  
Yao Wei ◽  
Zhen Guo ◽  
...  

Aim. The study aimed to investigate the impact of laparoscopic surgery and open surgery on postoperative edema in Crohn’s disease.Methods. Patients who required enterectomy were divided into open group (Group O) and laparoscopic group (Group L). Edema was measured using bioelectrical impedance analysis preoperatively (PRE) and on postoperative day 3 (POD3) and postoperative day 5 (POD5). The postoperative edema was divided intoslight edemaandedemaby an edema index, defined as the ratio of total extracellular water to total body water.Results. Patients who underwent laparoscopic surgery had better clinical outcomes and lower levels of inflammatory and stress markers. A total of 31 patients (26.05%) developedslight edemaand 53 patients (44.54%) developededemaon POD3. More patients developed postoperative edema in Group O than in Group L on POD3 (p=0.006). The value of the edema index of Group O was higher than that of Group L on POD3 and POD5 (0.402±0.010versus0.397±0.008,p=0.001;0.401±0.009versus0.395±0.007,p=0.039, resp.).Conclusions. Compared with open surgery, laparoscopic surgery can reduce postoperative edema, which may contribute to the better outcomes of laparoscopic surgery over open surgery.

Medicina ◽  
2012 ◽  
Vol 48 (4) ◽  
pp. 29 ◽  
Author(s):  
Sermin Sengun ◽  
Atilla Uslu ◽  
Salih Aydin

Background and Objective. The level of dehydration has been known to be a predisposing factor for the development of decompression sickness in divers. The aim of this study was to determine the level of dehydration in divers who dove with heliox and to determine whether the source of this dehydration was intracellular and/or extracellular by means of multifrequency bioelectrical impedance analysis (MF-BIA). Material and Methods. Eleven male professional divers were enrolled in the study. In order to determine the level of dehydration, MF-BIA was carried out (at 5, 50, and 100 kHz) and capillary hematocrit (Hct) was measured two times: one before diving and the other after leaving the pressure room. Results. When prediving and postdiving parameters were compared, significant increases in the resistance at 5 kHz (P<0.001), 50 kHz, (P<0.001), and 100 kHz (P<0.01) and Hct (P<0.01) were observed after the diving. Similarly, a statistically significant fluid shift was found: total body water, –1.30 L (P<0.001), extracellular water, –0.85 L (P<0.001); and intracellular water, –0.45 L (P=0.011). Conclusions. Our results showed that mild dehydration occurred both in the intracellular and extracellular compartments in divers after deep diving. This study also indicates that MF-BIA could be a reliable new method for determining the dehydration status in divers.


2000 ◽  
Vol 23 (3) ◽  
pp. 168-172 ◽  
Author(s):  
B. Oe ◽  
C.W.H. De Fijter ◽  
A.B.M. Geers ◽  
P.F. Vos ◽  
A.J.M. Donker ◽  
...  

Several equations are available to derive lean body mass (LBM) from bioelectrical impedance analysis (BIA). The purpose of this study was to investigate in dialysis patients the impact of the equation used on the outcome of LBM assessment. To avoid dyshydration as a confounder, vena cava diameter measurement was used to assess normohydration in the 21 patients studied. Five equations were compared. In a previously published study to assess total body water using antipyrine as a gold standard, Deurenberg's formula was advocated to be used in the estimation of LBM by BIA. Therefore, this formula was used as a basis for comparison with the other four equations. One equation gave results comparable to those obtained by Deurenberg's formula. Despite high correlations and agreement according to Bland and Altman analysis, the other three equations showed a significant difference with Deurenberg-derived LBM. Thus, the equation used has a major impact on the outcome of LBM estimations. (Int J Artif Organs 2000; 23: 168–72)


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