Download e-book for iPad: Atlas of Lift-Laparoscopy: The New Concept of Gasless by Daniel Kruschinski

By Daniel Kruschinski

A comparatively new procedure, gasless laparoscopy is much less invasive than pneuomoperitoneum insufflation and permits the health care professional to accomplish laparoscopic surgical procedure in high-risk sufferers with stipulations similar to middle insufficiency, lung obstruction, and being pregnant. This e-book explores some great benefits of lift-laparoscopy and its cost-effectiveness for sufferers, surgeons, hospitals, and the healthcare approach. With whole assurance of surgeries, An Atlas of Gasless Laparoscopy is a important advisor 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

In cases of spinal, epidural, or combined spinal/epidural anesthesia it is recommended to leave the patient with both hands free, since psychological stress is high and the patient is unable to move any other part of the body. To help the patient relax a CD player or DVD player is very useful. To prevent intraoperative pain or nausea, especially in anxious patients, sedative drugs can be administered. 1 For gynecologic procedures the Abdo-Lift™ is located on the right side of the patient at shoulder height and is mounted on the rail of the operating table.

40 New bipolar instruments for use in lift-laparoscopy (Bissinger, Germany) are in the process of design and manufacture. 41 A bipolar clamp enables grasping and coagulation with the same instrument. 43 With the bipolar clamp, tissue can be grasped while coagulation and cutting are performed by the bipolar scissors. 1 For gynecologic procedures the Abdo-Lift™ is located on the right side of the patient at shoulder height and is mounted on the rail of the operating table. Shoulder braces allow a deep Trendelenburg position and prevent sliding of the patient.

Shoulder braces must be used to make the steep Trendelenburg position possible during surgery. If shoulder braces are used they should be placed over the acromion to avoid possible brachial plexus injury. It is advisable that both arms should be tucked along the patient’s body to prevent brachial plexus injury and provide more space for the surgeon. If monopolar electrosurgery is to be used during the procedure, a ground electrode for the unipolar instruments must be properly placed over the patient’s thigh, and full surface contact of the electrode must be assured.

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Atlas of Lift-Laparoscopy: The New Concept of Gasless Laparoscopy by Daniel Kruschinski


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