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Combination of subcutaneous abdominal wall retraction and optical trocar to minimize pneumoperitoneum-related effects and needle and trocar injuries in laparoscopic surgery.
- Source :
-
Surgical Endoscopy . Oct1997, Vol. 11 Issue 10, p1006-1009. 4p. - Publication Year :
- 1997
-
Abstract
- <bold>Background: </bold>Both pneumoperitoneum and blind needle and trocar insertion may cause complications: because of the well-known physiological effects, CO2 insufflation is not indicated in patients with impairment of cardiorespiratory function and high-risk patients; injuries to underlying viscera and vessels by needles and trocars have been reported even when the open technique is used.<bold>Methods: </bold>A technique which combines abdominal wall suspension by a new subcutaneous lifter (LaparoTenser) and optical trocar (OptiView) insertion has been evaluated in a random series of 22 patients undergoing various laparoscopic procedures. The optic trocar was inserted without previous insufflation, but low-pressure (1-5 mmHg) pneumoperitoneum was associated during the course of the procedure in 16 cases.<bold>Results: </bold>The exposure of the operating field was good or sufficient in 21 cases (95%), while the placement of the optical trocar was always safe. One complication related to the insertion of the subcutaneous needles of the wall lifter occurred (suprafascial hematoma).<bold>Conclusions: </bold>The subcutaneous retractor allows the use of conventional cannulae and the combination of abdominal wall suspension with or without low-pressure pneumoperitoneum, thus enhancing the quality of exposure with no effect on the hemodynamic and respiratory functions. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 09302794
- Volume :
- 11
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- Surgical Endoscopy
- Publication Type :
- Academic Journal
- Accession number :
- 50023039
- Full Text :
- https://doi.org/10.1007/s004649900512