Study on How Pneumoperitoneum Time Affects Blood Bicarbonate Levels in Adults Having Laparoscopic Inguinal Hernia Repair

What this Trial Is About

This observational study investigates how the length of pneumoperitoneum during laparoscopic inguinal hernia surgery affects changes in blood bicarbonate levels. Pneumoperitoneum involves using carbon dioxide gas to create space inside the abdomen for surgery. The study aims to understand if longer pneumoperitoneum times are linked to shifts in blood bicarbonate after surgery, which may improve knowledge of metabolic changes during laparoscopic procedures. Adults scheduled for elective laparoscopic inguinal hernia repair using the transabdominal preperitoneal TAPP technique will participate. Blood gas values, including bicarbonate, pH, and partial pressure of carbon dioxide pCO2, will be measured before surgery and again two hours after surgery. The duration of pneumoperitoneum during the operation will be recorded and analyzed alongside these blood gas changes. Secondary measures include postoperative pain scores and early complications within 24 hours. Participants will undergo blood sampling before and two hours post-surgery to assess changes in serum bicarbonate and other acid-base balance parameters. Researchers will compare these changes with pneumoperitoneum duration to evaluate their relationship. The study will monitor pain and any early postoperative complications. Total participant involvement covers the surgery day and the immediate 24-hour postoperative period, enhancing understanding of metabolic effects during laparoscopic hernia repair.

Pneumoperitoneum Duration and Bicarbonate Changes in Laparoscopic Hernia Surgery