By Tom A. J. Schneider (auth.), Andrea Tinelli (eds.)
Laparoscopic access: conventional tools, New Insights And Novel techniques discusses conventional tools of laparoscopic surgical procedure, new units, laparoscopic access in tricky sufferers, robot assisted surgical procedure entry, unmarried port access, gasless entry, transvaginal access and traditional orifice surgical procedure. This publication illustrates, throughout the presentation of options, equipment, photographs, photographs, drawings and photographs, the entire attainable tools of laparoscopic access for endoscopic surgeons, both for laparoscopy or for robotics. Laparoscopic access: conventional equipment, New Insights And Novel methods describes difficulties and criticisms of every process and highlights universal and infrequent complications.Written by means of specialists within the box, this ebook additionally comprises guidance and methods, that are adapted to every sufferer, making it a precious reference software for gynecologists, urologists, vascular and basic surgeons.
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Extra resources for Laparoscopic Entry: Traditional Methods, New Insights and Novel Approaches
Sample text
After perforating all abdominal wall layers, CO2 gas will be released from the insufflated abdomen via the trocar and hints at proper insertion and intraabdominal position. Following this, a warmed laparoscope is inserted and the middle and lower abdomen are visualized to exclude injury to anatomical structures such as the omentum, bowel, or large vessels. Examination of the abdomen and exclusion of complications is a precondition for situating the patient in the Trendelenburg position and continuation of the surgical procedure.
Second, the trocar is inserted strictly 4–5 cm above the symphysis at the line described by Pfannenstiel incision. Third, the upper pole of the bladder should be visualized in patients with previous surgery, especially with prior Pfannenstiel incisions. Because the bladder might be situated more cephalad towing to the formation of postoperative adhesions, visualization of the filled bladder and its upper pole enables the surgeon to avoid injury of the organ by inserting the trocar under continuous visual control strictly above the vesical apex.
Sriprasad S, Yu DF, Muir GH, Poulsen J, Sidhu PS. Positional anatomy of vessels that may be damaged at laparoscopy: new access criteria based on CT and ultrasonography to avoid vascular injury. J Endourol. 2006;20(7):498–503. 6. Saber AA, Meslemani AM, Davis R, Pimentel R. Safety zones for anterior abdominal wall entry during laparoscopy: a CT scan mapping of epigastric vessels. Ann Surg. 2004;239(2):182–5. 7. Chandler JG, Corson SL, Way LW. Three spectra of laparoscopic entry access injuries. J Am Coll Surg.