| Autor: |
Tatsuo, Nakaoka, Sadashige, Uemura, Tatsuyuki, Yoshida, Terutaka, Tanimoto, Chizuka, Shiokawa, Ken, Harumoto |
| Rok vydání: |
2011 |
| Předmět: |
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| Zdroj: |
Osaka city medical journal. 56(2) |
| ISSN: |
0030-6096 |
| Popis: |
For laparoscopic surgery in pediatric patients, the initial trocar insertion is usually made employing open laparotomy to avoid injury to the viscera. It is safe but somewhat time-consuming for establishing a pneumoperitoneum, and requires additional sutures for anchoring or preventing air leakage. We devised a new initial trocar insertion technique employing an umbilical center incision to shorten the surgical duration and improve the esthetic appearance.Four hundred and thirty-one pediatric patients were indicated for this umbilical center insertion method (UCM) at 2 pediatric surgical departments. Patients suspected of having umbilical lesions (except for umbilical hernia) or extensive bowel adhesions were excluded.There was no complication associated with UCM. In almost all patients, a pneumoperitoneum was established within 1 minute. The wound was completely within the umbilical ring, and very satisfactory esthetically.We consider UCM to be a safe and easy procedure, and acceptable method of initial trocar insertion for pediatric laparoscopic surgery. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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