Effect of laparoscopic bariatric surgery on cerebral oxygenation

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dc.contributor.authorTuran, Ezgi
dc.contributor.authorKol, İclal Özdemİr
dc.contributor.authorAvci, Onur
dc.contributor.authorİsbİr, Ahmet Cemil
dc.contributor.authorKaygusuz, Kenan
dc.contributor.authorGürsoy, Sinan
dc.date.accessioned2024-10-26T17:51:14Z
dc.date.available2024-10-26T17:51:14Z
dc.date.issued2019
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractObjectives: Bariatric surgery methods are an important piece of morbid obesity treatment. In this research; we investigated the effects of laparoscopic bariatric surgery on rSO2, which is measured by using cerebral oxymeter, during reverse trendelenburg position, carbon dioxide insuflation and pneumoperitonium under general anesthesia. Material and Methods:After the patients’ and Cumhuriyet University Ethics Committee’s approval are taken; 40 voluntary, ASA I-III bariatric surgery patients at the age of 18-60 years were taken into the research. Hemodynamic parameters and rSO2 values were recorded at every 5 minutes of the operation, immediately after anesthesia induction (T1), at the starting of CO2 insuflation (T2), at 10th (T3), 20th (T4) and 30th (T5) minute of pneumoperitonium (T3), at 5th (T6) and 10th (T7) minute of positioning the patient into reverse trendelenburg, after positioning the patient into supine position at the end of the surgery (T8) and after extubation (T9). Results: When we compare the rSO2 values which were measured at different times, the difference was significant. When the measurements were compared as in double; differences between basal and T1, T2, T8 and difference between T1 and T9 were significant and differences between the other values were insignificant. In our research; there was a statistically increase in rSO2 after induction, at the start of CO2 insuflation and at 10th minute of positioning into reverse trendelenburg when compared to basal value. There was a decrease in rSO2 values that measured after extubation compared to values that measured after induction. Cerebral desaturation was not observed in any patient during the operation. Conclusion: It was seen that there was no significant difference in terms of cerebral oxygen saturation of the pneumoperitoneum and reverse trendelenburg position applied in limited number of patients undergoing bariatric surgery under general anesthesia. Surgery position was hemodynamically well-tolerated by the patients and the changes on rSO2 have parallels with hemodynamic changes. © 2019 by Türkiye Klinikleri.
dc.identifier.doi10.5336/medsci.2018-62558
dc.identifier.endpage143
dc.identifier.issn1300-0292
dc.identifier.issue2
dc.identifier.scopus2-s2.0-85070966844
dc.identifier.scopusqualityQ4
dc.identifier.startpage135
dc.identifier.trdizinid338082
dc.identifier.urihttps://doi.org/10.5336/medsci.2018-62558
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/338082
dc.identifier.urihttps://hdl.handle.net/20.500.12418/26110
dc.identifier.volume39
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isotr
dc.publisherTurkiye Klinikleri
dc.relation.ispartofTurkiye Klinikleri Journal of Medical Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBariatric surgery; Near infrared spectroscopy; Obesity
dc.titleEffect of laparoscopic bariatric surgery on cerebral oxygenation
dc.title.alternativeLaparoskopik bariatrik cerrahinin serebral oksijenizasyon üzerine etkisi
dc.typeArticle

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