Alumi Laparoscopic Discussion Board

what is the best port positions for patients underwent previous open surgery
Discussion in 'All Categories' started by Che - Jan 31st, 2018 7:37 am.
Che
Che
Good day sir! I hav patients who had previous open surgery like open hysterectomy and previous laparoscopic appendectomy, and now are scheduled for laparoscopic cholecystectomy..can u give me an advice on how iam going to make my first port ..iam afraid i might hit bowels becoz of adhesions..thankyou.
re: what is the best port positions for patients underwent previous open surgery by Dr R K Mishra - Feb 3rd, 2018 3:56 pm
#1
Dr R K Mishra
Dr R K Mishra
Dear Dr Che

Best port position for a patient who has previous laparotomy is either Palmer's Point or Hasson's Technique. Palmer's point upper quadrant Veress needle access is a safe and effective method of establishing pneumoperitoneum in patients subjected to laparoscopic surgery after previous midline laparotomy scar. Please keep in mind that nasogastric tube should must be in place and stomach should be fully deflated.

With regard
Dr R K Mishra
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