Case report: combined hand access with laparoscopic pneumoperitoneum in intraperitoneal adhesiolysis.
Previous abdominal surgery is one of the relative contraindications to safe induction of pneumoperitoneum with a Veress needle. Similarly visual inspection with a telescope may be limited and instrumental manipulation difficult. The manual ability to distract bowel loops and finger dissect greatly facilitates adhesiolysis and this is lost with conventional laparoscopy. A novel hand-access port is described which combines manual tactile ability with minimally invasive laparoscopic adhesiolysis.
Gorey
T F
TF
Mater Hospital, Dublin.
Tierney
S
S
O'Riordain
M
M
Buckley
D
D
Gibbons
N
N
Fitzpatrick
J M
JM
D000368:Aged; D005260:Female; D006225:Hand; D006801:Humans; D010535:Laparoscopy; D010532:Peritoneal Diseases / Q000601:surgery*; D011028:Pneumoperitoneum, Artificial / Q000379:methods*; D000267:Tissue Adhesions / Q000601:surgery