By Daniel Kruschinski
Physiologically, gasless laparoscopy is much less invasive than pneuomoperitoneum insufflation, permitting the doctor to accomplish laparoscopic surgical procedure in high-risk sufferers with stipulations resembling center insufficiency, lung obstruction, and being pregnant.
Exploring the advantages of lift-laparoscopy and its cost-effectiveness for sufferers, surgeons, hospitals, and the healthcare approach, this article discusses the demanding situations concerned with gasless laparoscopy, the variety of purposes of the strategy, and new demanding situations within the box. With entire insurance of surgeries, An Atlas of elevate Laparoscopy is a helpful advisor to utilizing this minimally invasive surgical procedure.
Read Online or Download Atlas of Lift-Laparoscopy: The New Concept of Gasless Laparoscopy (Encyclopedia of Visual Medicine Series) PDF
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Additional info for Atlas of Lift-Laparoscopy: The New Concept of Gasless Laparoscopy (Encyclopedia of Visual Medicine Series)
9 With the help of the S-shaped hooks, the size of the incision is only 12 mm long. One can reach the fascia layer by layer, displacing the subcutaneous and fatty tissue by blunt dissection. 10 By means of the S-hooks the rectus muscle is pushed aside and the peritoneum can be visualized.
18 In myomectomy, closure of all layers is performed with as few stitches as necessary to achieve an adequate and functional closure of the myometrial wound. 23 Recent applications show that it is possible to perform surgery even with one incision, where two instruments can be introduced at the same time. 24 When the procedure is completed, the entire abdominal cavity is checked for hemostasis. Lowering the position of the Abdo-Lift™ can be performed by the height adjusting wheel. Then, the ancillary trocars should be withdrawn under visual control.
Routinely, two ancillary ports can be introduced in the suprapubic region. ) 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.
Atlas of Lift-Laparoscopy: The New Concept of Gasless Laparoscopy (Encyclopedia of Visual Medicine Series) by Daniel Kruschinski