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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In this gasless laparoscopic procedure, simple valveless trocars and instruments can be used. Also, both allow the use of any ordinary tools for aspiration and drainage, making the technique cheap and easy to implement.
The role of gasless laparoscopy in differential diagnosis of acute abdomen
The majority of experience has been in cholecystectomy, with fewer operations done for hernia and colon resection. Get free access to newly published articles Create a personal account or sign in to: Endosc Surg Allied Technol. Hippokratia19 gasles Changes in intracranial hemodynamics during standard pneumoperitoneum for laparoscopy. Open in a separate window.
Gasless laparoscopy in abdominal surgery.
Support Center Support Center. Two techniques were used: This article is only available in the PDF format. The disadvantages of carbon dioxide pneumoperitoneum, some real and some hypothetical, are noted. Table 1 Indications for gasless laparoscopy and number of cases for each indication.
This author and others 1 – 6 used exclusively the laparolift method, with the LapVision variant not being mentioned. This study included 49 patients that were managed with gasless laparoscopy for the diagnosis of acute abdomen, from to Currently, this technique is used in emergency surgery, especially in debilitated patients and in gynecological cases with uncertain diagnosis.
The study included 32 women and 17 yasless aged years, including the following age groups: Treatment followed in each case, depended on the diagnosis and is presented on Table 2. World J Surg Oncol. Of these eight cases gawless diagnosis, five involved multiple trauma with symptoms of acute lapadoscopy, in which we could not identify any pathological findings by gasless laparoscopy.
In total, gasless laparoscopy was performed in 22 patients using the abdominal wall lifting method while in paparoscopy patients using the LapVision system. Laparoscopy, gasless laparoscopy, emergency, contraindications. It has to be mentioned though that neither this technique is free of complications.
Demetriades D, Velmahos G. Sign in to customize your interests Sign in to your personal account. Furthermore, an unlimited suction can be obtained without a loss of exposure. In this way we performed gasless laparoscopic surgery on 54 patients: A randomized comparison of gasless laparoscopic appendectomy and conventional laparoscopic appendectomy.
We did observe three wound infections as related complications. Purchase access Subscribe to JN Learning for one year. In such cases, diagnostic laparoscopy may solve the differential diagnostic problem. Regarding the eight patients in which laparoscopy was inconclusive: There are, however, patients where pneumoperitoneum is contraindicated head trauma, brain tumors, etc. Also a study of Ge et al, in cases of appendectomies performed laparpscopy gasless laparoscopy showed significantly decreased hospital costs 8.
Randomised comparison between low-pressure laparoscopic cholecystectomy and gasless laparoscopic cholecystectomy. Paolucci V, Schaeff B eds.
Gasless Laparoscopy With Conventional Instruments: The Next Phase in Minimally Invasive Surgery
Critical patients with major anesthetic risk, 2. In parentheses is the number of cases. Sign in to save your search Lapaeoscopy in to your personal account.
Conclusions Gasless laparoscopy is a useful method for the differential diagnosis of acute abdomen causes in cases of extreme graveness and urgency. Hospital of Obstetrics and Gynecology “I. Create a free personal account to download free article PDFs, sign up for alerts, and more.