Get Atlas of Lift-Laparoscopy: The New Concept of Gasless PDF

By Daniel Kruschinski

ISBN-10: 0203308379

ISBN-13: 9780203308370

ISBN-10: 184214118X

ISBN-13: 9781842141182

Physiologically, gasless laparoscopy is much less invasive than pneuomoperitoneum insufflation, permitting the health care provider to accomplish laparoscopic surgical procedure in high-risk sufferers with stipulations equivalent to middle insufficiency, lung obstruction, and being pregnant.

Exploring some great benefits of lift-laparoscopy and its cost-effectiveness for sufferers, surgeons, hospitals, and the healthcare procedure, this article discusses the demanding situations concerned with gasless laparoscopy, the diversity of purposes of the strategy, and new demanding situations within the box. With entire assurance of surgeries, An Atlas of raise Laparoscopy is a worthwhile advisor to utilizing this minimally invasive surgical procedure.

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Additional info for Atlas of Lift-Laparoscopy: The New Concept of Gasless Laparoscopy (Encyclopedia of Visual Medicine Series)

Sample text

The use of a nasogastric tube is not strictly mandatory, as no blind puncture to insert a trocar is to be performed. 45 184214118X_Ch05 31/1/07 10:06 AM Page 46 ATLAS OF LIFT-LAPAROSCOPY ANESTHESIA If general anesthesia is chosen and the operating time is scheduled to be more than 90 minutes, the anesthetist should perform a TIVA (total intravenous anesthesia) without the use of N2O, as nitrous oxide begins to inflate the bowel after 90–120 minutes, with the consequence that the distended bowel is placed in the pouch of Douglas and might disturb parts of the operation.

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 Then, the ancillary trocars should be withdrawn under visual control. 26 The abdominal cavity can then be elevated using one hand while the other hand is holding the endoscope.

36 The trocars are made from silicon and are flexible. 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.

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Atlas of Lift-Laparoscopy: The New Concept of Gasless Laparoscopy (Encyclopedia of Visual Medicine Series) by Daniel Kruschinski

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