During keyhole surgery the abdomen is inflated with gas. This thesis shows that using lower pressures improves abdominal blood flow, can reduce tissue damage and improve recovery after bowel surgery. A large analysis shows that using lower pressures can lead to less pain, less nausea, fewer minor complications, and a shorter hospital stay after many different abdominal surgeries, without adding extra risk during the operation. To ease the use of lower pressures during surgery, the anesthesiologist can use deep muscle relaxation. A dosing algorithm helps to achieve this more reliably. The immune system is often weakened after surgery; this research shows that use of lower pressure seems to reduce this effect. This insight may help us find ways to reduce infections after surgery in the future.
Kim Albers-Warlé (1989) studied Liberal Arts & Sciences at University College Roosevelt, where she graduated cum laude in 2011. She continued her education in the Selective Utrecht Medical Master at Utrecht University, where she finished her medical degree in 2015. She started her PhD in 2018. She is expected to finish her residency in anesthesiology and pain medicine in 2027.