Effects of intraabdominal pressure on mean platelet volume during laparoscopic cholecystectomy.

Autor: Rüçhan Bahadır CELEP, KAHRAMANCA, Şahin, ÖZSOY, Mustafa, AZILI, Cem, ÇETİNKÜNAR, Süleyman, HASDEMİR, Ahmet Oğuz, GÜZEL, Hakan, ÖZGEHAN, Gülay, ÇOLHAN, İbrahim, Tevfik Hadi KÜÇÜKPINAR
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Zdroj: Turkish Journal of Medical Sciences; 2014, Vol. 44 Issue 3, p360-364, 5p
Abstrakt: Background/aim: Intraabdominal hypertension is a common occurrence, especially in intensive care unit patients, and it has high mortality and morbidity rates. he onset is commonly insidious and the poor prognosis is attributed to the long delay in diagnosis. Unfortunately, diagnosis is oten delayed until loss of function in the afected tissues has already occurred. he aim of this study was to determine the predictive value of mean platelet volume (MPV) in assessing the risk of intraabdominal hypertension. Materials and methods: Pneumoperitoneum during elective laparoscopic cholecystectomy was used as a model for intraabdominal hypertension. he study included 103 patients who met the inclusion criteria. MPV evaluations were made at 3 distinct times during laparoscopic cholecystectomy based on the actual intraabdominal pressure. Results: MPV values during preinsulation, insulation, and desulation were 8.483 fL (range: 6.7 to 11.1), 8.901 fL (range: 6.8 to 11.9), and 8.538 fL (range: 5.8 to 10.9), respectively. A statistically signiicant increase in MPV values was found during high intraabdominal pressures (P < 0.001). A signiicant decrease in MPV values was also detected with desulation (P < 0.001). Conclusion: Increasing MPV values may relect increased intraabdominal pressures, which may have a clinical implementation in intraabdominal hypertension. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index