British Journal of Anaesthesia ; – Gasless laparoscopic cholecystectomy: comparison of postoperative recovery with conventional technique. This interesting treatise begins with a well-done historical review of laparoscopy. The disadvantages of carbon dioxide pneumoperitoneum, some real and some. PDF | On Dec 1, , L Angelini and others published Gasless laparoscopy.

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The role of gasless laparoscopy in differential diagnosis of acute abdomen

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Laparoscopy, gasless laparoscopy, emergency, contraindications. Use gaslesss this technique, allows clarification of the diagnosis and also acquisition of the necessary information to determine the appropriate therapeutic approach. Author information Copyright and License information Disclaimer.

Create a free personal account to access your subscriptions, sign up for alerts, and more. Low-pressure pneumoperitoneum laparoscopic surgery. The alternative actually exists since laparoscoyp Eruheim made the first gasless laparoscopy.

Gasless laparoscopy performed by both methods has some disadvantages as well. In cholecystectomy and bowel resection the advantages of being able to use traditional instruments are stressed. Patients with acute abdomen, traumatic or not, where diagnosis is uncertain, in the setting of 13 The midportion of the text is devoted to the application of the techniques to three areas of general surgery, the biliary tract, herniorrhaphy, and bowel resection.

Gasless laparoscopy in abdominal surgery.

Discussion The use of gasless laparoscopy has a number of advantages resulting from the lack of side effects and complications caused by the creation of pneumoperitoneum by CO 2 2. In Muhe achieved the first laparoscopic cholecystectomy without pneumoperitoneum.

Randomized comparison of conventional and gasless laparoscopic cholecystectomy: The differential lapraoscopy of acute abdomen remains a complex clinical issue because, on one hand the patient involved could be already compromised and the time available for diagnosis limited, and on the other hand due to frequent lack of diagnostic means [computed tomography CTmagnetic resonance imaging MRIultrasonography US ].


Sign laparoscipy to save your search Sign in to your personal account. Create a personal account to register for email alerts with links to free full-text articles. Of these eight cases without diagnosis, five involved multiple trauma with symptoms of acute abdomen, in which we could not identify any pathological findings by gasless laparoscopy. After raising the abdominal wall, the scope is introduced through the same access and the laparoscopic procedure can be started without the technical and physiopathological problems which llaparoscopy occur using a pneumoperitoneum.

Also, in our study two intraoperative complications occurred, that involved bleeding after hepatic biopsy with the LapVision system. It has to be mentioned though that neither this technique is free of complications. Post-operative complications are commonly related to the abdominal incision and are similar to the complications of classic surgery: The authors’ analysis of gasless laparoscopy is informative and gives the reader a historical perspective of this evolving technique.

With both techniques used, sample of the intraperitoneal fluid or biopsy could be obtained. Privacy Policy Terms of Use. We chose a sui-generis alternative, in which an incision is made about 2 cm from the base of the navel, the abdominal wall is afterwards raised with two Kocher clamps and the laparoscope is introduced in the abdominal cavity. Get free access to newly published articles Create a personal account or sign in to: Of interest is the report of a hernia repair with epidural anesthesia.

The method is not novel, but is currently revalorized in the above described context, and used more frequently. Tec- niche diagnostiche ed operative. First laaroscopy all, the view is somewhat inadequate, especially in the lateral and inferior quadrants.


Another advantage is that this method uses only local or regional anesthesia, which makes it possible to lwparoscopy performed easily, even on the emergency department setting. Gasless laparoscopy in abdominal surgery.

Final diagnoses were established in 41 patients and are presented in detail in Figure 1while in eight patients no obvious cause was identified or existed. Table 1 Indications for gasless laparoscopy and number of cases for each indication.

Then, the balloon is inflated and a 3. Treatment followed in each case, depended on the diagnosis and is presented on Table 2. Download the PDF to view the article, as well as its associated figures and gaaless.

Hypercarbia during carbon dioxide insufflation for therapeutic laparoscopy: An interesting study by Koivusalo et alshowed that gasless versus classical laparoscopy offers advantages in terms of postoperative recovery: Purchase access Subscribe now. Laparolift can be performed in many ways by instruments that, while fixed to the operating table, raise the abdominal wall 1.

Also, both allow the use of any ordinary tools for aspiration and laparroscopy, making the technique cheap and easy to implement. New Orleans, Louisiana, September Sign in to gaslesz a comment Sign in to your personal account. Support Center Support Center. National Center for Biotechnology InformationU. The study included 32 women and 17 men aged years, including the following age groups: CopyrightHippokratio General Hospital of Thessaloniki. This study included 49 patients that were managed with gasless laparoscopy for the diagnosis of acute abdomen, from to Journal List Hippokratia v.