GASLESS LAPAROSCOPY PDF

British Journal of Anaesthesia ; – Gasless laparoscopic cholecystectomy: comparison of postoperative recovery with conventional technique. This interesting treatise begins with a well-done historical review of laparoscopy. The disadvantages of carbon dioxide pneumoperitoneum, some real and some. PDF | On Dec 1, , L Angelini and others published Gasless laparoscopy.

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The role of gasless laparoscopy in differential diagnosis of acute abdomen

Open in a separate window. World J Surg Oncol. The gasless technique for galsess is an extremely useful mean of diagnosis in emergency conditions, or for patients with contraindications to undergo laparoscopy by pneumoperitoneum.

Sign in to customize your interests Sign in to your personal account. The midportion of the text is devoted to the application of the techniques to three areas of general surgery, the biliary tract, herniorrhaphy, and bowel resection. In this gasless laparoscopic procedure, simple valveless trocars and laaproscopy can be used.

Gasless laparoscopy in abdominal surgery.

New Orleans, Louisiana, September Gasless Laparoscopy With Conventional Instruments: After raising the abdominal wall, the scope is introduced through the same access kaparoscopy the laparoscopic procedure can be started without the technical and physiopathological problems which may occur using a pneumoperitoneum. Introduction The differential diagnosis of acute abdomen remains a complex clinical issue because, on one hand the patient involved could be already compromised and the time available for diagnosis limited, and on the other hand due to frequent lack of diagnostic means [computed tomography CTmagnetic resonance imaging MRIultrasonography US ].

The indications for laparosco;y procedures are summarized in Table 1.

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Final diagnoses were established in 41 patients and are presented in detail in Figure 1while in eight patients no obvious cause was identified or existed. In these patients, diagnostic gasless laparoscopy that identifies hemoperitoneum should be followed by laparotomy. Of these eight cases without diagnosis, five involved multiple trauma with symptoms of acute abdomen, in which we could not identify any pathological findings by gasless laparoscopy. Journal List Hippokratia v.

In such cases, diagnostic laparoscopy may solve the differential diagnostic problem. Also, both allow the use of any ordinary tools for aspiration and drainage, making the technique cheap and easy to implement. Number of cases diagnosed by gasless laparoscopy as distributed based on their diagnosis. Purchase access Subscribe to the journal.

For these 49 procedures, two methods were used: In two of these patients, pain was reported at laparosscopy trocar site 3 weeks after surgery. We did observe three wound infections as related complications.

Especially in six cases treated this way, the postoperative pain was very intense and high doses of painkillers were required. Treatment followed in each case, depended on the diagnosis and is presented on Table 2.

Download the PDF to view the article, as well as its associated figures laparoscopyy tables.

The role of gasless laparoscopy in differential diagnosis of acute abdomen

Gasless laparoscopy in abdominal gsaless. Also, in our study two intraoperative complications occurred, that involved bleeding after hepatic biopsy with the LapVision system. A randomized comparison of gasless laparoscopic appendectomy and conventional laparoscopic appendectomy.

Support Center Support Center. Not only special laparoscopic instruments, but the conventional instruments, used in open surgery, can also be employed in gasless laparoscopy.

In Muhe achieved the first laparoscopic cholecystectomy without la;aroscopy. Then, the balloon is inflated and a 3.

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Gasless laparoscopy in abdominal surgery.

Sbarcea” of Brasov, Children’s Hospital of Brasov and Emergency Hospital Roman, where 49 gasless laparoscopic procedures were performed during the period The majority of experience has been in cholecystectomy, with fewer operations done for hernia and colon resection.

LapVision system has the additional advantage that it does not exert traction on the abdominal wall 9 which results in reduced pain, its flexible trocar can be left in place for drainage, or for the possibility of an easy second look laparoscopy, and additionally the system allows the performance of biopsies through the biopsy channel attached to the trocar.

CopyrightHippokratio General Hospital of Thessaloniki. The combination of the risk of an open laparotomy and the relative high likelihood of negative findings when performed, creates the need for a better approach. National Center for Biotechnology InformationU.

The differential diagnosis of acute abdomen remains a complex clinical issue because, on one hand the patient involved could be already compromised and the time available for diagnosis limited, and on the other hand due to frequent lack of diagnostic means [computed tomography CTmagnetic resonance imaging MRIultrasonography US ]. Based on our experience and local guidelines applied, gasless laparoscopy is currently in use in our institutions only for diagnostic purposes and this results in managing these cases either with gas laparoscopy lapsroscopy with laparotomy.

Tehnology-driven triage of abdominal trauma: Critical patients llaparoscopy major anesthetic risk, 2.