Faculty Collaboration Database

Alternative site entry for laparoscopy in patients with previous abdominal surgery. J Laparoendosc Adv Surg Tech A 1998 Jun;8(3):125-30

Date

07/29/1998

Pubmed ID

9681424

DOI

10.1089/lap.1998.8.125

Scopus ID

2-s2.0-0031857445 (requires institutional sign-in at Scopus site)   26 Citations

Abstract

Laparoscopic procedures are increasingly performed in patients who have undergone prior abdominal surgery. Safe entry into the peritoneum includes avoidance of underlying viscera often tethered to the abdominal wall from surgical adhesions. Our group describes an alternative site technique utilizing the open Hasson procedure in a previously unoperated field, thus avoiding potential underlying adhesions. During the past 24 months this technique has been performed successfully in 95 patients, and no open conversions due to visceral or vascular injuries were necessary. Previous abdominal surgery should not be an absolute contraindication to minimally invasive procedures.

Author List

Gersin KS, Heniford BT, Arca MJ, Ponsky JL

MESH terms used to index this publication - Major topics in bold

Abdomen
Abdominal Muscles
Humans
Laparoscopy
Punctures
Reoperation