[Pelviscopic surgery without pneumoperitoneum? A new method and its effects on anesthesia].
New developments in the field of pelviscopic surgery enable us to perform more extensive, time-consuming and difficult operations. Prolonging the increased intraabdominal pressure carries the risk of dangerous complications, especially in high-risk patients. We introduce a new technique to perform prolonged pelviscopic operations without or with only slightly increased intraabdominal pressure. The abdominal wall is suspended from a fixation frame. Negative effects on anaesthesia caused by prolonged increased intraabdominal pressure can be compensated. Many different pelviscopic operations can be performed using this simple and inexpensive technique, particularly in surgical procedures of the adnexae. This new technique is advantageous especially in high-risk patients, who can no longer be excluded from extensive pelviscopic surgery.
Volz
J
J
Universitäts-Frauenklinik Mannheim, Fakultät für klinische Medizin, Universität Heidelberg.
Volz
E
E
Köster
S
S
Weiss
M
M
Wischnik
A
A
Melchert
F
F
D000768:Anesthesia, General; D000771:Anesthesia, Intravenous; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000295:instrumentation; D007431:Intraoperative Complications / Q000517:prevention & control*; D020706:Laparoscopes; D010052:Ovariectomy / Q000295:instrumentation; D011028:Pneumoperitoneum, Artificial / Q000295:instrumentation*; D011183:Postoperative Complications / Q000517:prevention & control*; D012307:Risk Factors
Pelviskopisches Operieren ohne Pneumoperitoneum? Eine neue Methode und ihre Auswirkungen auf die Narkose.