Hasson's cut-down technique through Palmer's point

Autor: Srdjan Saso, J. Richard Smith
Rok vydání: 2011
Předmět:
Zdroj: Gynecological Surgery. 8:341-342
ISSN: 1613-2084
1613-2076
DOI: 10.1007/s10397-010-0646-4
Popis: Response Letter to Article: Direct optical entry through Palmer's point: A new technique for those at risk of entry-related trauma at laparoscopy Aust TR, Kayani SI, Rowlands DJ Gynecol Surg 2010; 7:315–317 We read with interest the recent report of an alternative laparoscopic entry method proposed by Aust et al. for those gynaecological patients who are at risk of bowel injury as a result of periumbilical adhesions, as well as very thin or morbidly obese patients who require an alternative entry site [1]. The authors have described a new technique which uses a direct optical entry method at Palmer's point (3 cm below the left costal margin in the midclavicular line) [2]. By doing this, one is allowed a visual inspection of the umbilicus and ensuing adhesiolysis to allow subsequent insertion of an umbilical port under direct vision. The authors have performed this technique on 15 patients and reported no entry-related complications. Periumbilical adhesions were seen in 12 of the 15 patients.
Databáze: OpenAIRE