Laryngeal Mask Supreme During Laparoscopic Gynecologic Surgery

Asses to Ventilation Parameters,Asses to Peak Pressure,Asses to Mean Pressure

Laryngeal mask (LM) use in gynecological laparoscopy, contrary to widespread opinion, does
 not increase the incidence of gastric aspiration, the failure of ventilation or the risk of
 pulmonary aspiration . LM is presented as an alternative to endo tracheal tube (ETT) in
 spontaneous or positive pressure ventilation (PPV) . LM has gained widespread popularity in
 England for gynecological laparoscopic procedures. In addition in many previous studies LM
 has been successfully shown to provide appropriate lung ventilation in laparoscopic surgical
 interventions .Miller et al. compared the use of ETT, LM-P laparoscopic gynecological
 interventions and identified advantages to LM use. The most important of these advantages was
 that, contrary to tracheal tube techniques for laparoscopic surgeries, use of supraglottic
 laryngeal devices or neuromuscular blocker agents (NBA) were not required during placement.
 Thus for laparoscopic surgeries, compared with the ETT technique, without the need for
 supraglottic laryngeal devices or muscular relaxants, it is easily placed and reduces the
 time spent in the operating room.
 
 Our aim; to compare the use of LM-S and ETT without neuromuscular agents for laparoscopic
 gynecological intervention with positive pressure ventilation from a surgical viewpoint and
 in terms of effect on ventilation parameters.
 
 Secondary aim, comparison of airway morbidity with endotracheal intubation and supraglottic.