{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:43:30Z","timestamp":1786653810561,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Improvement in the perioperative care has led to increased use of minimally invasive surgeries. Multiple physiological changes during minimally invasive surgeries are attributed to the creation of pneumoperitoneum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>One hundred and nine patients who underwent laparoscopic cholecystectomy at a tertiary care hospital in north India meeting the inclusion and exclusion criteria were enrolled.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Out of the total 109 patients, 13 were males and 96 females (M:F = 1:7.3), the mean basal metabolic rate was 28.95 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . The mean systolic and diastolic blood pressure of the upper limb were 134.33 + 17.545 and 80.69 + 11.59 respectively. The mean systolic and diastolic blood pressure in lower limb (LL) were 142.32 + 21.552 and 79.44 + 11.94, respectively. Significant rise in the SBP was noticed in LL at the time of creation of Pneumoperitoneum and after changing the position for surgery (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). The diastolic pressure in the LL rises significantly in the LL after creation of pneumoperitoneum, at induction, after reverse Trendelenburg position and extubation (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). The mean arterial pressure increased significantly in the LL after the creation of pneumoperitoneum and persisted till the extubation (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). A significant rise of ankle\u2013brachial index (ABI) was observed in the patients after the creation of pneumoperitoneum and it remained significant till 15 min into surgery (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). There was no correlation of ABI with weight and age of the patients on Pearson correlation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is rise in ABI of the patients undergoing laparoscopic cholecystectomy at the time of creation of pneumoperitoneum, after Trendelenburg position and 15 min into surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijabmr.ijabmr_498_23","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T15:05:43Z","timestamp":1716563143000},"page":"94-100","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The Effect of Pneumoperitoneum on the Ankle\u2013brachial Index of the Patients Undergoing Laparoscopic Cholecystectomy: An Observational Study"],"prefix":"10.4103","volume":"14","author":[{"given":"Ravneet Kaur","family":"Gill","sequence":"first","affiliation":[{"name":"Department of Anesthesia, AIMS, Mohali, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of General Surgery, AIMS, Mohali, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prabhjot","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of General Surgery, AIMS, Mohali, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bharti","family":"Sidhu","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, AIMS, Mohali, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puja","family":"Saxena","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, AIMS, Mohali, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navdeep Singh","family":"Saini","sequence":"additional","affiliation":[{"name":"Department of Surgery, AIMS, Mohali, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Money","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of General Surgery, AIMS, Mohali, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,5,24]]},"reference":[{"key":"R1-20260505","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1111\/j.1471-0528.2008.02038.x","article-title":"Robotic surgery","volume":"116","author":"Schreuder","year":"2009","journal-title":"BJOG"},{"key":"R2-20260505","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1089\/1092642041255441","article-title":"Application of haptic feedback to robotic surgery","volume":"14","author":"Bethea","year":"2004","journal-title":"J Laparoendosc 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environment","volume":"235","author":"Nakeeb","year":"2002","journal-title":"Ann Surg"},{"key":"R10-20260505","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.atherosclerosis.2020.09.026","article-title":"The accuracy of toe brachial index and ankle brachial index in the diagnosis of lower limb peripheral arterial disease: A systematic review and meta-analysis","volume":"315","author":"Herraiz Adillo","year":"2020","journal-title":"Atherosclerosis"},{"key":"R11-20260505","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.1016\/S0039-6109(05)70189-4","article-title":"Laparoscopic surgery for morbid obesity","volume":"81","author":"Schauer","year":"2001","journal-title":"Surg Clin North Am"}],"container-title":["International Journal of Applied &amp; Basic Medical 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