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In oncologic laparoscopic procedures there is a risk of port site metastases, especially in patients with peritoneal carcinomatosis. This incidence of iatrogenic dissemination of cancer might be reduced with special measures as trocar site protection and midline placement of trocars. [29]
Open Appendectomy: Operative procedure video; Laparoscopic Appendectomy Video (includes case presentation) Open & Laparoscopic appendectomy, appendectomy; A video of the procedure; Another video of the procedure (either requires Windows Media Player and will not load in Firefox 1.5; or use with any player that can play .wmv files)
Single-port laparoscopy (SPL) is a recently developed technique in laparoscopic surgery. It is a minimally invasive surgical procedure in which the surgeon operates almost exclusively through a single entry point, typically the patient's navel. Unlike a traditional multi-port laparoscopic approach, SPL leaves only a single small scar.
Disposable trocars Laparoscopic instruments for insertion through trocars. A trocar (or trochar) is a medical or veterinary device used in minimally invasive surgery.Trocars are typically made up of an awl (which may be metal or plastic with a pointed or tapered tip), a cannula (essentially a rigid hollow tube) and often a seal.
Several studies have pointed out that for various laparoscopic surgical applications (such as cholecystectomy, groin hernia repairs and appendectomies), creating pneumoperitoneum by using a Veress needle is not always as safe and effective as other techniques (e.g. direct trocar insertion (DTI)).
Laparoscopic appendectomy was introduced in 1983 and has become an increasingly prevalent intervention for acute appendicitis. [93] This surgical procedure consists of making three to four incisions in the abdomen, each 0.25 to 0.5 inches (6.4 to 12.7 mm) long.
"Subtotal versus total laparoscopic hysterectomy". Acta Obstet Gynecol Scand Suppl. 164: 88– 93. PMID 9225648. Semm K, Semm I (1999). "Maintenance of Body Temperature at Laparoscopic Surgery". Surg Technol Int VIII. 8: 39– 43. PMID 12451507. Turner D, Semm K (2000). "The Role of Computers and Robotics in Endoscopic Surgery". Surg Technol ...
During the procedure, topical anesthesia is often given before insertion of a needle into the vagina. [25] Saline is flushed through the needle and the needle is replaced by the trocar. [25] Depending on the clinician, Lactated Ringer's may be used instead of saline. [26] Once the trocar is placed, an optic scope is inserted. [25]