Emine Aslanlar, Mehmet Sargın, Emine Uysal, Durmuş Ali Aslanlar, Özkan Önal, Jale Bengi Çelik
{"title":"Evaluation of cerebral venous return with internal jugular vein blood flow in gynecological laparoscopic surgery","authors":"Emine Aslanlar, Mehmet Sargın, Emine Uysal, Durmuş Ali Aslanlar, Özkan Önal, Jale Bengi Çelik","doi":"10.4328/acam.21763","DOIUrl":"https://doi.org/10.4328/acam.21763","url":null,"abstract":"Aim: The steep Trendelenburg position is frequently used in laparoscopy to improve the surgical image. However, this positioning combined with pneumoperitoneum raises concerns especially in relation to cerebral hemodynamic physiology. In this study, we aimed to evaluate the effects of pneumoperitoneum and steep Trendelenburg position, applied in laparoscopic gynecological surgeries on cerebral venous return, with changes in internal jugular vein (IJV) blood flow. Material and Methods: Twenty patients who underwent laparoscopic gynecological surgery under general anesthesia were included in the study. IJV cross-sectional area (CSA) and Doppler flow velocity were measured with an ultrasonography device at the end of inspiration. IJV blood flow (ml/min) was calculated with the formula of cross-sectional area (cm²) × Doppler flow velocity (cm/sec) × 60. The first measurement was performed in the supine position immediately after endotracheal intubation. The second measurement was performed 1 hour after applying pneumoperitoneum and 25° Trendelenburg position. Results: In the steep Trendelenburg position, there was a significant increase in right and left IJV CSA (p = 0.001; p = 0.038) and blood flow (p = 0.005; p = 0.039), while no significant difference was observed in Doppler flow rate. In the supine position, the right IJV CSA and blood flow were significantly greater than the left IJV CSA and blood flow (p = 0.015 and p = 0.017). Discussion: The steep Trendelenburg position and pneumoperitoneum in laparoscopic gynecological surgeries caused an increase in bilateral IJV blood flow to raise cerebral venous drainage.","PeriodicalId":22236,"journal":{"name":"The Annals of Clinical and Analytical Medicine","volume":"363 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135445956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of copper intrauterine devices on sexual function: A prospective comparative study within the same cohort of Turkish women","authors":"Adil Barut","doi":"10.4328/acam.21902","DOIUrl":"https://doi.org/10.4328/acam.21902","url":null,"abstract":"","PeriodicalId":22236,"journal":{"name":"The Annals of Clinical and Analytical Medicine","volume":"2017 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135955749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Short-term effect of latanoprostene bunod monotherapy on reducing intraocular pressure and altering macular microvasculature","authors":"Kemal Bayrakçeken, Hasan Akgöz","doi":"10.4328/acam.21900","DOIUrl":"https://doi.org/10.4328/acam.21900","url":null,"abstract":"","PeriodicalId":22236,"journal":{"name":"The Annals of Clinical and Analytical Medicine","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135958998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Investigation of pruritus and dermatological quality of life in chronic kidney disease patients","authors":"","doi":"10.4328/acam.21462","DOIUrl":"https://doi.org/10.4328/acam.21462","url":null,"abstract":"","PeriodicalId":22236,"journal":{"name":"The Annals of Clinical and Analytical Medicine","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72938745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Surgical timing of burst fractures in lumbar vertebrae: Early surgery or late surgery?","authors":"","doi":"10.4328/acam.21532","DOIUrl":"https://doi.org/10.4328/acam.21532","url":null,"abstract":"","PeriodicalId":22236,"journal":{"name":"The Annals of Clinical and Analytical Medicine","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73278756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Serum zinc levels in patients with hirsutism","authors":"","doi":"10.4328/acam.21491","DOIUrl":"https://doi.org/10.4328/acam.21491","url":null,"abstract":"","PeriodicalId":22236,"journal":{"name":"The Annals of Clinical and Analytical Medicine","volume":"519 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77193997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of the continuity of treatment among patients using anticholinergic medication","authors":"","doi":"10.4328/acam.21542","DOIUrl":"https://doi.org/10.4328/acam.21542","url":null,"abstract":"","PeriodicalId":22236,"journal":{"name":"The Annals of Clinical and Analytical Medicine","volume":"4 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72548691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Establishing the factors affecting treatment success in lung cancer cases presenting with malignant cavity","authors":"","doi":"10.4328/acam.21675","DOIUrl":"https://doi.org/10.4328/acam.21675","url":null,"abstract":"","PeriodicalId":22236,"journal":{"name":"The Annals of Clinical and Analytical Medicine","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80259335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diagnostic value of mid-regional pro-atrial natriuretic peptide (MR-proANP) level in patients with acute pulmonary embolism","authors":"","doi":"10.4328/acam.21399","DOIUrl":"https://doi.org/10.4328/acam.21399","url":null,"abstract":"","PeriodicalId":22236,"journal":{"name":"The Annals of Clinical and Analytical Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82921723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}