Visceral sliding technique is useful for detecting abdominal adhesion and preventing laparoscopic surgical complications.
OBJECTIVE
Introduce a non-invasive method preoperatively to prevent bowel injury by the Veres needle and trocar during laparoscopy.


METHODS
Case-controlled study.


METHODS
A hospital-based study.


METHODS
Five hundred and twelve patients who underwent laparoscopic surgery were prospectively enrolled.


METHODS
A simple and non-invasive method to detect bowel adhesions preoperatively.


RESULTS
A total of 512 patients who underwent operative laparoscopy were prospectively enrolled for ultrasonographic visceral sliding evaluation. They were subdivided into two groups as follows: group I, 332 patients without previous abdominal surgery; group II, 180 patients with previous abdominal surgery. No bowel adhesion to the umbilicus was present in group I. In group II, only two cases with bowel adhered to the periumbilical area were found by visceral sliding technique. No patients suffered any bowel injury.


CONCLUSIONS
The proposed technique is useful and highly effective in guiding the insertion of the Veres needle and trocar to prevent bowel injury in laparoscopy.
Department of Obstetrics and Gynecology, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan, ROC.
Wen-Chiung
WC
Hsu
Wen-Chun
WC
Chang
Su-Cheng
SC
Huang
Pao-Ling
PL
Torng
Daw-Yuan
DY
Chang
Bor-Ching
BC
Sheu
D000005:Abdomen / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D007410:Intestinal Diseases / Q000000981:diagnostic imaging*; D007416:Intestinal Perforation / Q000517:prevention & control; D007422:Intestines / Q000293:injuries*; D020706:Laparoscopes / Q000009:adverse effects*; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008875:Middle Aged; D009339:Needles / Q000009:adverse effects; D011446:Prospective Studies; D012086:Reoperation; D013525:Surgical Instruments / Q000009:adverse effects; D000267:Tissue Adhesions / Q000000981:diagnostic imaging; D014463:Ultrasonography; D014472:Umbilicus / Q000473:pathology; D014781:Viscera / Q000473:pathology