Home > Riviste > Panminerva Medica > Fascicoli precedenti > Panminerva Medica 1999 December;41(4) > Panminerva Medica 1999 December;41(4):371-7

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Estratti

PANMINERVA MEDICA

Rivista di Medicina Interna


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,698


eTOC

 

TECHNICAL NOTES  


Panminerva Medica 1999 December;41(4):371-7

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

The new techniques of gynaecologic laparoscopy. Gasless, open Hasson, optic trocar

Canestrelli M., Cannì M., Mori R., Blanc B., Trompeo P.

From the Department of Obstetrics and Gynaecology, “E. Agnelli” Hospital of Pinerolo, Pinerolo (Torino), Italy * Department of Obstetrics and Gynaecology, Conception Hospital of Marseille, University of Marseille, Marseille, France


PDF  


Background. New tech­niques of lapa­ros­co­py: gas­less, ­open Hasson, ­optic tro­cars ­allow to ­avoid the ­risks of ves­sel and bow­el inju­ries. The objec­tive of ­this ­study was to eval­u­ate the capa­bil­ity of a retrac­tor ­system as an alter­na­tive to con­ven­tion­al tech­nique with­out pneu­mo­per­i­ton­eum and to ­assess if the ­system facil­i­tates the use of con­ven­tion­al sur­gi­cal instru­ments dur­ing gynaec­o­log­i­cal sur­gery.
Methods. Design: Prospective eval­u­a­tion. Setting: University- affil­i­at­ed ­county hos­pi­tal. Patients: Gasless lapa­ros­co­py sur­gery was per­formed on 49 ­patients ­between December 1995 and July 1996 ­with a retrac­tor ­system with­out pneu­mo­per­i­ton­eum con­sist­ing of an intrab­dom­i­nal retrac­tor ­using con­ven­tion­al sur­gi­cal and lapar­os­cop­ic instru­ments and to ­enable a simul­ta­ne­ous vag­i­nal ­approach.
Results. Gasless lapa­ros­co­py was suc­cess­ful in 44 (90%) of cas­es. A simul­ta­ne­ous vag­i­nal ­approach was ­used in one ­third of indi­ca­tions includ­ing vag­i­nal myo­mec­to­my and lapar­os­cop­ic assist­ed hys­ter­ec­to­my. Conversion to lap­a­rot­o­my was ­required in 5% of cas­es. Mean pro­ce­dure dura­tion was 90 min­utes and ­mean hos­pi­tal­isa­tion ­time was 5.7 ­days.
Conclusions. The intro­duc­tion of new tech­niques of lapa­ros­co­py: gas­less, ­open Hasson, ­optic tro­cars has broad­ened the appli­ca­tion of oper­a­tive lapa­ros­co­py. Gasless tech­nique in ­lieu of con­ven­tion­al lapa­ros­co­py can be per­formed reli­ably and safe­ly for ­most gynaec­o­log­i­cal indi­ca­tions. The ­most out­stand­ing ben­e­fit of ­this meth­od is ­that it can be com­bined ­with a vag­i­nal ­approach ­which is not pos­sible ­using a pneu­mo­per­i­ton­eum due to gas leak­age. The ­place of gas­less lapa­ros­co­py ­will ­depend on con­tin­u­ing devel­op­ment by instru­ment man­u­fac­tur­ers, in ­order to ­achieve an instru­ment pro­vid­ing ­vision as ­good as ­that ­seen ­with the pneu­mo­per­i­ton­eum.

inizio pagina

Publication History

Per citare questo articolo

Corresponding author e-mail