optical port for lap cholecystectomy in a scarred umbilicus.
| Discussion in 'All Categories' started by ramya - Nov 2nd, 2022 6:33 am. | |
ramya
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Sir, what is the best site for optical port in lap cholecystectomy , in a patient with supraumbilical scar (for previous TLH). |
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re: optical port for lap cholecystectomy in a scarred umbilicus.
by Dr. R. K. Mishra -
Apr 15th, 2023
4:06 pm
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Dr. R. K. Mishra
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In a patient with a scarred umbilicus, the optimal location for the optical port during laparoscopic cholecystectomy may vary depending on the extent and location of the scarring. However, in general, the optical port should be placed as close as possible to the center of the umbilicus, where there is typically less scarring and a better view of the operative field. The optical port is usually placed at the umbilicus for laparoscopic cholecystectomy to provide a direct view of the gallbladder and surrounding structures. In cases where the umbilicus is scarred or there is a significant amount of subcutaneous fat, the optical port may need to be placed slightly above or below the umbilicus to avoid the scar tissue or fatty tissue. During the procedure, the surgeon may need to make additional ports in other locations to facilitate access and dissection. These additional ports may be placed based on the surgeon's preference and the location of the gallbladder and surrounding structures. Ultimately, the optimal location for the optical port in a patient with a scarred umbilicus should be determined by the surgeon based on the individual patient's anatomy and the extent and location of the scarring. The surgeon may need to make adjustments to the port placement during the procedure to ensure optimal visualization and access to the operative field. |
