By Daniel Kruschinski
A comparatively new method, gasless laparoscopy is much less invasive than pneuomoperitoneum insufflation and permits the physician to accomplish laparoscopic surgical procedure in high-risk sufferers with stipulations akin to center insufficiency, lung obstruction, and being pregnant. This ebook explores the advantages of lift-laparoscopy and its cost-effectiveness for sufferers, surgeons, hospitals, and the healthcare approach. With entire insurance of surgeries, An Atlas of Gasless Laparoscopy is a important consultant to utilizing this minimally invasive surgical procedure. the writer discusses the demanding situations concerned, the diversity of purposes of this technique, and new demanding situations within the box.
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Additional info for Atlas of Lift-Laparoscopy: The New Concept of Gasless Laparoscopy
Example text
And about 1 cm under the pubic hairline, since using conventional curved instruments makes it possible to reach all pelvic organs and structures. After a few weeks the pubic hair covers the incisions and the cosmetic results obtained by this technique are better than in pneumoperitoneum laparoscopy. 1 The patient is draped with leggings and a laparoscopy sheet. 2 The patient is put in the lithotomy position and covered with sterile drapes.
Shoulder braces allow a deep Trendelenburg position and prevent sliding of the patient. 2 For any procedure some conventional instruments are needed. ru The Abdo-Lift™. 7 Silicon trocars in two lengths are available. The trocars are flexible and can be inserted with a sharp and a blunt tip. 12 The conventional needle holder from open surgery is modified to a double jointed needle holder. 23 The specially designed S-hook allows one to approach the abdominal cavity layer by layer under visual control and using an open technique.
7 Silicon trocars in two lengths are available. The trocars are flexible and can be inserted with a sharp and a blunt tip. 12 The conventional needle holder from open surgery is modified to a double jointed needle holder. 23 The specially designed S-hook allows one to approach the abdominal cavity layer by layer under visual control and using an open technique. ru 43 184214118X_Ch04 2/1/07 5:23 PM Page 44 184214118X_Ch05 5 31/1/07 10:06 AM Page 45 PATIENT POSITIONING AND ANESTHESIA PATIENT POSITIONING The patient is placed in a lithotomy position with the buttocks extended over the end of the table.