Open Access in Laparoscopic Surgery to Prevent Entry Complications

2021 ◽  
pp. 255-259
Author(s):  
Viktor Justin ◽  
Diletta Di Miceli ◽  
Selman Uranues
Keyword(s):  
Laparoscopic Surgery ◽  
Open Access

scholarly journals Are Gynaecologists underutilising the open access technique for laparoscopic surgery?

2018 ◽  
Vol 7 (5) ◽  
pp. 1791
Author(s):  
Atmajit Singh Dhillon
Keyword(s):  
Laparoscopic Surgery ◽  
Open Access ◽  
Care Service ◽  
Abdominal Cavity ◽  
Tertiary Care ◽  
Access Time ◽  
Vascular Injuries ◽  
Obese Women ◽  
Spectrum Of Patients ◽  
Access Technique

Background: Open access technique for laparoscopic surgery is used by the surgeons routinely, for gaining intraabdominal access safely, but is somehow underutilised by gynaecologists. The most important and dangerous part of laparoscopic surgery is while gaining access to the abdominal cavity, especially in the obese, thin and in patients with previous abdominal scars. Various access techniques have been described including Hasson and Fielding technique, transvaginal or transuterine insufflation, alternative sites for introducing Veress needle abdominally and insufflations with an optical trocar. Open access technique can minimize visceral and vascular injuries and ensures quick and easy intra-abdominal access.Methods: 250 patients were taken up for laparoscopic surgery at tertiary care service hospitals for open access technique for laparoscopic surgery for a variety of indications. The spectrum of patients ranged from thin, obese, single and multiple transverse scarsResults: A total of 250 patients, were taken up for laparoscopic surgery with the open access method successfully. The median age of the patients was 32 years, there were 77 patients (31%), with previous transverse laparotomy incisions. Median time for access was 100 seconds, and in 102 patients, there was prolonged access time ranging from 150-300 seconds, 37 (36%) of these patients were those with previous multiple transverse laparotomies and 65 (64%), patients were obese. There were no intra-abdominal organ or vascular injuries. Skin incisions healed well.Conclusions: This study describes the open access technique in patients, with transverse laparotomy scars and especially useful in thin and obese women, and where the chances of vascular and visceral injuries can be high while gaining intra - abdominal access. It is safe, effective, easy to learn and requires minimal instrumentation and can be used in the vast majority of the gynaecological cases.

A Safe Open Access Technique to Insert the First Trocar in Laparoscopic Surgery

Videoscopy ◽  
2016 ◽  
Vol 26 (2) ◽  
Author(s):  
Selman Uranues ◽  
Orhan Veli Ozkan ◽  
Gordana Tomasch
Keyword(s):  
Laparoscopic Surgery ◽  
Open Access ◽  
Access Technique

scholarly journals MODIFIED SCANDINAVIAN TECHNIQUE – AN OPEN ACCESS TECHNIQUE FOR PRIMARY TROCAR IN LAPAROSCOPIC SURGERY

2016 ◽  
Vol 3 (30) ◽  
pp. 1317-1319
Author(s):  
Dhamotharan S.R ◽  
John Kennedy J ◽  
Christeena Indrani J
Keyword(s):  
Laparoscopic Surgery ◽  
Open Access ◽  
Access Technique ◽  
Primary Trocar

scholarly journals Minimal Open Access Ileocolic Resection in Complicated Crohn’s Disease of the Terminal Ileum

2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Giuseppe S. Sica ◽  
Sara Di Carlo ◽  
Stefano D’Ugo ◽  
Claudio Arcudi ◽  
Leandro Siragusa ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Laparoscopic Surgery ◽  
Open Access ◽  
Crohn's Disease ◽  
Operative Time ◽  
Statistical Significance ◽  
Study Group ◽  
Ileocolic Resection ◽  
Operative Costs ◽  
Standard Laparoscopic Surgery

The objective of this study was to evaluate the possibility to undertake an ileocolic resection in complex Crohn’s disease using a minimal open abdominal access using standard laparoscopic instruments. The incision was carried out over the previous McBurney scar, with a mean length of 6 cm. Seventy-two patients with complicated Crohn’s disease underwent IC resection in the considered period; 12 patients had a McBurney scar due to a previous appendectomy and represented the group of study. Feasibility and safety of the procedure were evaluated. Clinical data and outcome were compared with a control arm of 15 patients who had a standard laparoscopic IC resection, pooled out from our database among those who had a McBurney incision as service incision. Mean operative time and postoperative stay were significantly shorter in the study group. Blood loss and operative costs were also lower in the study group but did not reach statistical significance. Minimal open access ileocolic resection (MOAIR) through a small McBurney incision seems safe and feasible in complex Crohn’s disease. Some advantages over standard laparoscopic surgery could be found in surgical outcomes and costs.

scholarly journals An Open Access Technique to Create Pneumoperitoneum in Laparoscopic Surgery

2007 ◽  
Vol 96 (4) ◽  
pp. 297-300 ◽  
Author(s):  
A.-C. Moberg ◽  
U. Petersson ◽  
A. Montgomery
Keyword(s):  
Laparoscopic Surgery ◽  
Open Access ◽  
Access Technique

1168: Wound Complications after Hand-Assisted Laparoscopic Surgery (HALS)

2005 ◽  
Vol 173 (4S) ◽  
pp. 317-317 ◽  
Author(s):  
Jeffrey S. Montgomery ◽  
Willam K. Johnston ◽  
J. Stuart Wolf
Keyword(s):  
Laparoscopic Surgery ◽  
Wound Complications

899: Hans Christian Jacobaeus the Pioneer of Laparoscopic Surgery

2005 ◽  
Vol 173 (4S) ◽  
pp. 243-243
Author(s):  
Martin Hatzinger ◽  
Jasmin K. Badawi ◽  
Axel Häcker ◽  
Stefan Kamp ◽  
Achim Lusch
Keyword(s):  
Laparoscopic Surgery

Open Access – Sie haben die Wahl mit OpenMind

2009 ◽  
Vol 20 (2) ◽  
pp. 47-48
Author(s):  
G.-Jürgen Hogrefe
Keyword(s):  
Open Access

Strukturierte klinische Interviews zur Erfassung psychischer Störungen über die Lebensspanne

2017 ◽  
Vol 46 (3) ◽  
pp. 176-186 ◽  
Author(s):  
Jürgen Margraf ◽  
Jan Christopher Cwik ◽  
Verena Pflug ◽  
Silvia Schneider
Keyword(s):  
Open Access ◽  
Psychische Störungen ◽  
Dsm 5

Zusammenfassung. Psychische Störungen können über die ganze Lebensspanne auftreten. Strukturierte klinische Interviews sind zentrale Hilfsmittel für ihre rasche, zuverlässige und umfassende Diagnostik. Im deutschsprachigen Raum stehen mit den Verfahren der DIPS-Familie Interviews zur Diagnostik psychischer Störungen über die gesamte Lebensspanne zur Verfügung, die seit den 90er Jahren regelmäßig aktualisiert wurden. Ihre Reliabilität, Validität und Akzeptanz wurde wiederholt in großen Stichproben aus ambulanten, stationären und Forschungssettings überprüft. Die Einführung des DSM-5 erforderte eine umfassende Überarbeitung der DIPS-Interviews, deren wesentliche Merkmale dargestellt werden. Um die breitere Verwendung von strukturierten klinischen Interviews zu fördern, werden die Verfahren der DIPS-Familie neu als „Open Access-Dokumente“ zur Verfügung gestellt. Abschließend werden weitere Entwicklungen zu Training, Dissemination und Computerisierung im Ausblick angesprochen.

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