Effect of modified lateral clasp-knife position on increased intra-operative intraocular pressure of patients with posterior laparoscopic surgery
- VernacularTitle:改良侧卧折刀位对后腹腔镜手术患者术中眼压增高的影响
- Author:
Chun BIAN
1
;
Jie XU
;
Xueping HU
;
Ninghan FENG
Author Information
- Keywords: retroperitoneoscopy; intraocular pressure; intra-operative posture; pneumoperitoneum
- From: Journal of Clinical Medicine in Practice 2018;22(9):96-97,100
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the effect of modified lateral clasp-knife position on intraocular pressure of patients.Methods A total of 48 patients with posterior laparoscopic surgery were randomly divided into the control group and the observation group,24 cases in each group.The control group was conducted with the traditional folding position that shook the head of the bed with a low angle of 15 degrees,and the end of the bed with 30 degrees.The observation group was treated with modified lateral clasp-knife position that shook the high foot of the surgical bed with a angle of 15 degrees.The intraocular pressure indexes at the time points of before monitoring of putting position (T0),10 min after putting position (T1),30 min after pneumoperitoneum (T2),10 min after removing pneumoperitoneum (T3) and 10 min (T4) after operation were monitored.Results The intraocular pressure of the observation group was more stable than the control group,and the intraocular pressure 5 min after putting position increased in the control group,and there werc significant differences at T1,T2,T4 between two groups (P ＜ 0.05 or P ＜ 0.01).Conclusion Modified lateral clasp-knife position can effectively reduce the change of intraocular pressure caused by the surgical position,reduce the edema of the conjunctiva and reduce the risk of postoperative visual impairment.
