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5 Cards in this Set
- Front
- Back
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CI to laparoscopy (6) |
1. Uncorrectable coagulopathy 2. Intestinal obstruction unless intention to treat 3. Significant abdominal wall infection 4. Massive hemoperitoneum or hemoretroperitoneum 5. Generalized peritonitis 6. Suspected malignant ascites. |
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Access points for Veress needle? What is the Palmer point? |
1. Umbilicus 2. Palmer point—midclavicular line subcostal on either side, and just off the iliac crest—two fingerbreadths up and two fingerbreadths medial) |
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What other conditions make laparoscopy challenging? |
Obesity Previous surgery Pelvic fibrosis Organomegaly Benign ascites (pushes bowel closer to wall) Pregnancy Diaphragmatic hernia Iiliac or AAA |
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Advantages to CO2? (2) What is the lethal dose 50?
What gas can be considered for COPD pts? |
Most commonly, CO2 is used as the insufflant because it does not support combustion and is very soluble in blood (LD50 for CO2 is 1750 mL) (air = 357 mL)
Helium in COPD |
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Types of access? (6) |
Veress Open ie. hasson Endotip (with camera in trocar) Blind trocar Hand port access LESS NOTES |
