Insights from a Randomized Trial: Comparing Standard and Lower Pressure Pneumoperitoneum in Laparoscopic Gynecologic Surgery

Lower insufflation pressures (10 and 12 mmHg) during laparoscopic gynecologic surgery do not reduce postoperative pain compared to the standard 15 mmHg.
Surgical visualization is preserved at 12 mmHg, while it is slightly compromised at 10 mmHg but correctable by pressure adjustment.
Postoperative opioid usage and other secondary outcomes were similar across all insufflation pressure groups.
Adjustment of insufflation pressure based on patient-specific factors is feasible and supports individualized intraoperative management.

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