diagnostic laparoscopy alexander parata. diagnostic laparoscopy - a procedure that allows a health...
Post on 01-Jan-2016
222 Views
Preview:
TRANSCRIPT
Diagnostic Laparoscopy
Alexander Parata
Diagnostic Laparoscopy- a procedure that allows a health care
provider to look directly at the contents of a patient's abdomen or pelvis, including the fallopian tubes, ovaries, uterus, small bowel, large bowel, appendix, liver, and gallbladder.
Basic Equipment
•Camera/Laparoscope•Video Monitor•Insufflator•Light source•ESU•Stirrups
Basic Instruments
•Laparotomy set•Laparoscopy set•Vaginal Tray
Auvard Weighted Speculum Sims Uterine sound Cervical dilators Tenaculum forceps
Pre Op
•Anesthesia : General/local•Position: lithotomy •Prep: Laparotomy + Vaginal Prep•Draping: Laparotomy + Lithotomy drapes
▫1x urethral catheterization done prior to prep
Basic Laparoscopy Procedures
1. Handheld vaginal retractor (Auvard Weighted Speculum) placed posteriorly in the vagina and the cervix is grasped with a tenaculum.
2. Uterine manipulator is placed into cervix.
3. Anterior abdominal wall is elevated (use 2 towel clips)
4. Midline incision is made with #11 blade.
5. Veress Needle in inserted to fascia in order to enter the abdominal cavity.
6. abdominal cavity is inflated with 3 liters of CO2 (pressure 12-15 mmHg)
7. Remove veress Needle and extend the incision to 1 cm (length). To insert Laparoscopic trocar+Sleeve into the abdominal cavity.
8. The trocar is removed from the sleeve and is replaced with at laparoscope.
- co2 line connected to valve on sleeve-laparoscope connected w/ light source, camera, monitor.
9. After operative intervention the CO2 is released and all ports are removed.
10. Close incision (suture/steri strips)
Post Op
•PACU•Return to normal activities
Possible COMPLICATIONS:-Hemorrhage-Wound infection-Perforation of viscus
top related