Laparoscopy Clinical Trial
Official title:
Individualized Pneumoperitoneum Pressure in Colorectal Laparoscopic Surgery Versus Standard Therapy (IPPCollapse II)
The purpose of this study is to assess the post-operative recovery quality of the Individualized Pneumoperitoneum Pressure Therapy in Colorectal laparoscopic surgery versus standard therapy using a quality validated scale of postoperative recovery of their stay in the Post-Anaesthesia Recovery Unit.
In the last two decades laparoscopic surgery has settled as a less invasive surgical approach
compared to open surgery. It is associated with lower perioperative morbidity and hospital
stay. There is growing evidence that increased intra-abdominal pressure (IAP), even for short
periods of time, is associated with increased perioperative morbidity (pain, increased
inflammatory markers peritoneal injury worse splanchnic perfusion abnormalities hemodynamic
and ventilatory ...).
The study is a prospective multicenter randomized clinical intervention trial to assess the
impact of IAP individualization strategy (IPP-Individualized pneumoperitoneum Pressure)
relative to a IAP standard strategy (SPP-Standard pneumoperitoneum Pressure) using a
validated scale (VAS) (PQRS- Postoperative Quality of Recovery Scale). Postoperative pain in
the first 24 hours (area under VAS curve , opioid rescue, referred pain to the shoulder) and
surgical stress and inflammatory markers (neutrophil/lymphocyte, ratio,C-reactive protein,
interleukin-6, procalcitonin) are also measured. Postoperative complications are evaluated by
Clavier-Dindo classification.
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