By Namir Katkhouda
This moment variation of complicated Laparoscopic surgical procedure, options and Tips represents a entire description of the present laparoscopic recommendations. It provides surgeons with all of the info essential to effectively accomplish laparoscopic surgery. it's a hands-on guide that is helping the health professional stay away from pitfalls and procure the mandatory laparoscopic abilities quick and successfully. it's a prepared resource of functional aid while trouble-shooting is important. complex laparoscopic surgical procedure is a wonderful merger of a textbook and atlas for the healthcare professional who desires to expand and refine his laparoscopic innovations.
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Additional resources for Advanced Laparoscopic Surgery: Techniques and Tips, Second Edition
The tube is disconnected ii. The suction is working and is stronger than the insufflator Control of Bleeding of Unnamed Vessels An unnamed vessel can be controlled in the same manner as a main vessel (see below), but usually simple compression with an atraumatic clamp and careful electrocautery will control the bleeding, so long as the major abdominal organs are kept under vision at an appropriate distance. Compression is one of the best possible means of achieving hemostasis on a rough surface.
If used, it should be added at an early stage, permitting the insertion of an irrigation/suction device, which can be used as a retractor to push down the duodenum and the greater omentum. It will also serve for hydrodissection. This extra trocar should be used for all obese patients, and also when the duodenum is stuck to the gallbladder and the surgeon requires extra duodenal retraction. The Basic Laparoscopic Cholecystectomy a b Fig. 2 Ideal port placement for laparoscopic cholecystectomy.
The CBD is encircled and umbilical tape is passed around it to allow gentle retraction of the duct. It is then transected. The distal end is ligated using an Endoloop with 2–0 PDS. The proximal end of the CBD is trimmed conservatively, care being taken to avoid devascularization. 5). First the angle of Treitz is identified. Following the small bowel, the second jejunal loop is picked up and transection of the loop is performed using an EndoLinear Cutter-45 with white loads (Ethicon EndoSurgery Inc, Cincinatti, OH).
Advanced Laparoscopic Surgery: Techniques and Tips, Second Edition by Namir Katkhouda