Why is CO2 used in laparoscopic surgery?

Why carbon dioxide is used in laparoscopy?

Carbon dioxide is used as the insufflation gas as it is non-flammable, colourless and has a higher blood solubility than air, thus reducing the risk of complications after venous embolism.

Why is carbon dioxide used in surgery?

Carbon dioxide is used as an insufflation gas and as a cryotherapy agent. Carbon dioxide is commonly used as an insufflation gas for minimal invasive surgery (laparoscopy, endoscopy, and arthroscopy) to enlarge and stabilize body cavities to provide better visibility of the surgical area.

Why oxygen is not used in laparoscopy?

Their use has been discontinued because of the danger of embolism. Air, oxygen and nitrous oxide are also not safe to use in the presence of electrosurgical instruments thereby limiting their usefulness even further.

How long does it take for co2 to dissipate after laparoscopic surgery?

Conclusions: We conclude that the residual pneumoperitoneum following laparoscopic surgery resolves within 3 days in 81% of patients and within 7 days in 96% of patients.

What are the advantages of pneumoperitoneum?

Pneumoperitoneum provides simultaneous exposure of all quadrants of the abdominal cavity, which allows the perfor- mance of more complex laparoscopic procedures. Pneumoperi- toneum, therefore, is the “gold standard” against which other methods should be compared.

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What is the purpose of capnography?

Capnography is a non-invasive measurement during inspiration and expiration of the partial pressure of CO2 from the airway. It provides physiologic information on ventilation, perfusion, and metabolism, which is important for airway management.

What is the difference between laparoscopy and laparotomy?

Laparotomy is basically a surgical procedure which involves a large incision in the abdomen to facilitate a procedure. While laparoscopy is a minimally invasive surgical procedure which sometimes referred as keyhole surgery as it uses a small incision.

How does CO2 leave the body after surgery?

Once the surgery is over, CO2 is released from the abdomen, and skin incisions are sewn together. However, despite best efforts to suction out all of the gas, some CO2 often remains inside the abdomen.

What complications are associated with CO2 insufflation?

The 4 major pulmonary complications that can occur with abdominal insufflation include hypercarbia, hypoxemia, reduction in pulmonary compliance, and subcutaneous emphysema. Hypercarbia can cause systemic vasodilatation, arrhythmias, myocardial depression, and exacerbation of pulmonary hypertension.

Why is pneumoperitoneum bad?

The two major contributors to a negative outcome related to the pneumoperitoneum are increased intra-abdominal pressure and the extreme dryness of the gas used and not to the specific chemical formula of the gas used for distention.