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
Post Reply
Name *
Email * Will be hidden from visitors
Your Avatar * Limit 2Mb please
 *
Enter verification code Simple catpcha image
*
* - required fields
 

In case of any problem in starting laparoscopic discussion please contact | RSS

World Laparoscopy Hospital
Cyber City
Gurugram, NCR Delhi, 122002
India

All Enquiries

Tel: +91 124 2351555, +91 9811416838, +91 9811912768, +91 9999677788



Need Help? Chat with us
Click one of our representatives below
Nidhi
Hospital Representative
I'm Online
×