ArticleJournal of anaesthesiology, clinical pharmacology
Evaluation of optic nerve sheath diameter in patients undergoing robotic hysterectomy in steep Trendelenburg position compared to open abdominal hysterectomy in supine position: A randomized controlled trial.
Article in Journal of anaesthesiology, clinical pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Perioperative outcomes and anesthetic challenges of robotic-assisted gynecologic surgery: a systematic review.Journal of anesthesia, analgesia and critical care · 2026Review
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and Aims: Raised intracranial pressure (ICP) is believed to be one of the side effects of prolonged Trendelenburg position in robotic gynecologic surgeries. Optic nerve sheath diameter (ONSD) corresponds to a rise in ICP. However, the data from robotic hysterectomy surgeries is limited. So, we had planned this study with an aim to detect and compare the change in ONSD during prolonged steep Trendelenburg position in robotic hysterectomy compared to open total abdominal hysterectomy in a supine position. Material and Methods: This was a prospective, observational, parallel-group, single-center study. Patients undergoing elective robotic hysterectomy and open total abdominal hysterectomy were included in this study. ONSD, end-tidal carbon dioxide (EtCO Results: Compared to the patients undergoing open hysterectomy, robotic hysterectomy patients had a significantly higher ONSD at time points T2, T3, and T4, with the maximum difference noted at the time point T4. EtCO Conclusion: The steep Trendelenburg position used in robotic hysterectomy causes a significant increase in ONSD intraoperatively, and that the changes are reversible after the procedure. Further, we did not observe any complication of raised ICP postoperatively.
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