Hindbrain-related syringomyelia and raised intra-abdominal pressure: implications for safety of laparoscopic and robotic surgery.

CONCLUSION: Raised IAP plays a paramount role in the formation and maintenance of the hindbrain-related syrinx. High-pressure CO2 surgical pneumoperitoneum is strongly discouraged in these patients because at risk of rapid neurological worsening. A low-pressure insufflation technique has a rationale in those patients having smaller or incidental syrinxes. KEY WORDS: Hindbrain-Related Syringomyelia, Intra-Abdominal Pressure, Laparoscopic Robotic Surgery. PMID: 32469337 [PubMed - as supplied by publisher]
Source: Annali Italiani di Chirurgia - Category: Surgery Tags: Ann Ital Chir Source Type: research