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Tips and Tricks in Laparoscopic Dissection of Adhesions

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George S. Ferzli
George S. Ferzli
Santé & Médecine
1  sur  21
Tips and Tricks in Laparoscopic Dissection of Adhesions George Khoury, MD George Ferzli, MD, FACS LUTHERAN MEDICAL CENTER SUNY DOWNSTATE MEDICAL CENTER Venice June 2005
Historical Perspectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adhesion Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention of fibrin deposition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications related to adhesions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Laparoscopic adhesiolysis for intestinal obstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Can laparoscopy reduce adhesion formation? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results of laparoscopic adhesiolysis for small bowel obstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reasons for Conversion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Operating Room ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Laparoscopic Management of Small Bowel Obstruction: Indications and Outcome Enrique Luque-de Ledn, MD, Altjandro Metzger, MD, Gregory G Tsotos, MD, J GASTROINTEST SURG 1998;2:132-140 5mm trocars in the RUQ and LLQ maximize the distance from the trocars to the iliocecal valve and Ligament of Treitz, respectively. MONITOR 1 MONITOR 2
Laparoscopic approach to postoperative adhesive obstruction G Borzellino, S Tasselli, G Zerman, C Pedrazzani, G Manzoni Surg Endosc (2004) 18: 686–690 ,[object Object],[object Object]
[object Object],[object Object],Midline incision Initial trocar X
Access ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Optical access trocars ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tools ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Visualization ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dissection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Technique ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Technique, continued ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object]

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Tips and Tricks in Laparoscopic Dissection of Adhesions

  • 1. Tips and Tricks in Laparoscopic Dissection of Adhesions George Khoury, MD George Ferzli, MD, FACS LUTHERAN MEDICAL CENTER SUNY DOWNSTATE MEDICAL CENTER Venice June 2005
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  • 11. Laparoscopic Management of Small Bowel Obstruction: Indications and Outcome Enrique Luque-de Ledn, MD, Altjandro Metzger, MD, Gregory G Tsotos, MD, J GASTROINTEST SURG 1998;2:132-140 5mm trocars in the RUQ and LLQ maximize the distance from the trocars to the iliocecal valve and Ligament of Treitz, respectively. MONITOR 1 MONITOR 2
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