port position in mas - world laparoscopy hospital...port position in mas r. k. mishra . 2 2 ......
TRANSCRIPT
World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Port Position in MAS
R. K. Mishra
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Where Should I
Put my Port?
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Statistics
The most
common
cause of
stressful
surgery is
wrong port
position
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Is Umbilicus Safe For Primary
Port ?
•Wound infection at the
umbilicus is similar to
that at other sites
•Postoperative ventral
hernia at the umbilicus
is similar to that at other
sites
The central location and ability of the umbilicus to camouflage scars make it an
attractive primary trocar site for laparoscopic surgery.
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
For Operative Surgery Follow
Base Ball Diamond Concept
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
First Decide the Target
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Find The Length Of Your
Instrument
Size of Adult Laparoscopic Instrument is
36 Cm & Paediatrics Instrument is 28 cm
For optimum task
performance the
half to two third
instrument should
be inside the
abdomen
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
18 cm
24 cm
Draw The Line Of Optimum
Area
Draw two arcs on
the abdominal wall
at 18 and 24 cm
from that point and
note the area in
between
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Telescope & Instruments
1.Telescope should
be in the middle of
instruments
2.Manipulation angle
of instruments
should be 60
degree
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
“Baseball Diamond” Concept
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Rule Of Diamond
18 cm
24 cm
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Rule Of Diamond
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Laparoscopic Appendectomy
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Laparoscopic Hernia
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Drawing with Surgical Sketch
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
“Baseball Diamond” concept
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Splenectomy
“Baseball Diamond” concept
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
If There Are Two Targets ?
That part of the abdominal wall which is common to the two areas marked is
the best site for the ports.
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Rule of
Diamond
Not
Always
Applicable
Retroperitoneoscopy
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Rule Not Applicable Always
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Hemi-Nephroureterectomy
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World Laparoscopy Hospital Essentials of Laparoscopic Surgery
Thank you
Our Advance course at Iranian Hospital, Dubai