Direct trocar insertion with elevation of the rectus sheath in bariatric surgery: A novel technique
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Tarih
2017
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Index Copernicus International
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Introduction. Initial trocar entry, the first step in laparoscopic surgery, is associated with several complications. In morbidly obese patients, initial trocar placement is associated with a greater number of complications compared to non-obese patients. Materials and Surgical Technique. In this study, we describe our use of an initial trocar entry technique which is direct trocar insertion with elevation of the rectus sheath by a single Backhaus towel clamp and we would like to evaluate the sa fety and efficacy of its administration in bariatric surgery. Discussion. Our results indicate that gaining initial trocar entry using our technique leads to successful laparoscopic bariatric surgery. Our technique is a safe, effective, and reliable first step in successful laparoscopic surgery for almost all patients, and is only contraindicated in patients with severe hepatomegaly. © 2018 Fundacja Polski Przeglad Chirurgiczny.
Açıklama
Anahtar Kelimeler
bariatric surgery, direct trocar insertion, rectus sheath elevation
Kaynak
Polski Przeglad Chirurgiczny/ Polish Journal of Surgery
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
89
Sayı
6
