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Neurohormonal Response to Laparoscopy and Acute Rise in Intra-abdominal Pressure

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Book cover The Pathophysiology of Pneumoperitoneum

Abstract

The clinical observation that the laparoscopic surgical approach lessens postoperative pain and shortens hospital stay [1, 2] when compared to open surgery, might lead one to postulate that laparoscopy is accompanied by a diminished postoperative physiologic stress response. Indeed, the very term “minimally invasive surgery” indirectly suggests this possibility. However, it is not yet clear that laparoscopy lessens the complex neurohormonal stress response which accompanies conventional surgery. There is an increasing body of research on the physiological changes which occur with pneumoperitoneum, as well as a growth of data on the related condition of an acute rise in intra-abdominal pressure and the abdominal compartment syndrome (ACS) [3–9].

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Authors
  1. C. Corwin
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  2. A. J. Fabrega
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  3. C. Scott-Conner
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Editor information

Editors and Affiliations

  1. Department of Surgery, Mount Sinai Medical Center, One L. Gustave Levy Place, New York, NY, 10029-6574, USA

    Raul J. Rosenthal M.D.

  2. The Mount Sinai Hospital, Mount Sinai School of Medicine, One L. Gustave Place, New York, NY, 10029-6574, USA

    Raul J. Rosenthal M.D.

  3. Department of Surgery, Beth Israel Medical Center, 16th Street and 1st. Ave, New York, NY, 10002, USA

    Richard L. Friedman M.D.

  4. Division of Endoscopic Surg., Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Los Angeles, CA, 90048, USA

    Edward H. Phillips M.D., F.A.C.S.

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© 1998 Springer-Verlag Berlin Heidelberg

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Corwin, C., Fabrega, A.J., Scott-Conner, C. (1998). Neurohormonal Response to Laparoscopy and Acute Rise in Intra-abdominal Pressure. In: Rosenthal, R.J., Friedman, R.L., Phillips, E.H. (eds) The Pathophysiology of Pneumoperitoneum. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60290-0_11

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  • DOI: https://doi.org/10.1007/978-3-642-60290-0_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64339-2

  • Online ISBN: 978-3-642-60290-0

  • eBook Packages: Springer Book Archive

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