|Discussion in 'All Categories' started by Lawrence Lo - Mar 13th, 2013 11:01 am.|
|If you decide to use the LUQ to insert a veress neede for insufflation (due to a Hx of prior umbilical adhesions) do you always ask the anesthesiologist to decompress the stomach before insertion?|
re: laparoscopy by Dr J S Chowhan - Mar 19th, 2013 10:40 am
Dr J S Chowhan
|Dear Dr Lawrence Lo
It is must that anesthetist should insert nasogastric tube before insertion of veress needle to palmers point Insertion from the Veress needle and primary trocar for initial entry continues to be most hazardous a part of laparoscopy accounting for 40% of all laparoscopic complications many fatalities. Patients mustn't be in Trendelenburg position during initial trocar insertion. This method is recommended by a few surgeons to lower potential risk of bowel injury in patients with prior abdominal surgeries. The left upper quadrant insertion (Palmers Point) is located 3 cm beneath the core left costal margin along with the Veress needle is inserted perpendicular towards the patients skin.
J S Chowhan
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