By Daniel Kruschinski

A comparatively new method, gasless laparoscopy is much less invasive than pneuomoperitoneum insufflation and permits the medical professional to accomplish laparoscopic surgical procedure in high-risk sufferers with stipulations reminiscent of 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 procedure. With whole assurance 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 variety of functions of this technique, and new demanding situations within the box.

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Attention should be given to proper positioning of the patient’s legs to avoid peroneal nerve injury during lengthy procedures. 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.

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.

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. 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.

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