By Daniel Kruschinski
A comparatively new method, gasless laparoscopy is much less invasive than pneuomoperitoneum insufflation and permits the healthcare professional to accomplish laparoscopic surgical procedure in high-risk sufferers with stipulations equivalent to center insufficiency, lung obstruction, and being pregnant. This publication explores the advantages of lift-laparoscopy and its cost-effectiveness for sufferers, surgeons, hospitals, and the healthcare process. With whole insurance of surgeries, An Atlas of Gasless Laparoscopy is a worthy 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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Extra info for Atlas of Lift-Laparoscopy: The New Concept of Gasless Laparoscopy
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.
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 Then, the ancillary trocars should be withdrawn under visual control. 26 The abdominal cavity can then be elevated using one hand while the other hand is holding the endoscope. The trocar sheath is removed from the incision while the optic remains in the abdomen. 27 To prevent hernia formation, the fascia of the umbilical and ancillary ports should be closed.
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.