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                     Effect of Different Carbon Dioxide Pressure Gradients in Capnoperitoneum for Laparoscopic Examination in Dogs

          significantly (p < 0.05) increased at 60 minutes interval after  in all three groups remained within the normal limits
          CP. Heart rate (beats/min) decreased nonsignificantly  throughout the observation period.
          (p > 0.05) immediately after anesthesia and at 30, 60 and
          120 minutes after CP in all of the animals of the three groups.  Electrocardiographic Indices
          However, it again nonsignificantly (p > 0.05) increased at  The mean amplitude and duration of P-wave in all the
          24 hours postlaparoscopy in all the three groups. This  animals of three groups did not differ significantly
          fluctuation in heart rate was more pronounced in the animals  (Table 3). Wandering pacemaker was evident in three
          of group C than it was in groups A and B. Preoperative as  animals of groups A and B and one animal of group C
          well as postoperative mean rectal temperatures (°F) recorded  after CP (Fig. 2). One animal of group C showed occasional


































                    Fig. 1: Laparoscopic visualization of different intra-abdominal organs at 10 mm Hg of CO  pressure gradient
                                                                                       2

                   Table 1: Mean ± SE of visualization score of internal organs during laparoscopy in animals of different groups
           Groups    Liver     Spleen     Gallbladder  Pancreas    Intestine    Kidney      Ovary      Uterus
             A    2.33 ± 0.21  2.16 ± 0.16  2.50 ± 0.22  0.33 ± 0.21  2.50 ± 0.22  1.50 ± 0.22  2.16 ± 0.16  1.83 ± 0.16
             B    2.66 ± 0.21  2.66 ± 0.24  3.00 ± 0.00  2.50 ± 0.22  3.00 ± 0.00  2.66 ± 0.21  3.00 ± 0.00  2.66 ± 0.21
             C    3.00 ± 0.00  3.00 ± 0.05  3.00 ± 0.00  2.50 ± 0.02  2.83 ± 0.30  3.00 ± 0.00  3.00 ± 0.04  3.00 ± 0.00


                  Table 2: Mean ± SE value of respiration rate, heart rate and rectal temperature recorded at different time intervals
           Groups Before anesthesia  After anesthesia       Time intervals after establishment of capnoperitoneum
                                                     30 mins         60 mins        120 mins         24 hrs
           Respiration rate (beats/min)

            A       26.83 ± 1.13   20.16 ± 0.98    28.16 ± 1.11    28.66 ± 1.33    26.16 ± 0.74   28.66 ± 1.08
            B       29.16 ± 1.01   23.00 ± 1.39    29.66 ± 1.52    30.16 ± 1.93    28.66 ± 1.56   28.86 ± 0.84
            C       28.50 ± 0.92   23.50 ± 1.05    31.83 ± 1.60    32.8 ± 1.07     30.16 ± 1.37   30.33 ± 0.88
           Heart rate (beats/min)
            A       137.52 ± 20.15  136.25 ± 23.57  104.25 ± 17.97  93.25 ± 14.10  98.00 ± 18.92  132.50 ± 7.88
            B       126.50 ± 9.91  107.00 ± 22.69   94.00 ± 5.47   86.00 ± 10.29   85.50 ± 5.12   115.00 ± 12.12
            C       139.50 ± 16.50  105.00 ± 22.78  97.00  ± 13.3  106.50 ± 19.81  145.75 ± 29.85  134.50 ± 9.68
           Rectal temperature (F)
            A       100.85 ± 0.33  100.98 ± 0.48   101.05 ± 0.55   101.11 ± 0.25   101.21 ± 0.43  101.33 ± 0.29
            B       100.45 ± 0.32  100.36 ± 0.44   100.45 ± 0.38   100.41 ± 0.39   100.56 ± 0.36  100.83 ± 0.27
            C       100.63 ± 0.50  100.71 ± 0.38   100.23 ± 0.21   100.63 ± 0.23   101.15 ± 0.44  101.28 ± 0.26
          World Journal of Laparoscopic Surgery, May-August 2013;6(2):53-62                                 55
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