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10 Cards in this Set

  • Front
  • Back

Principles of MIS

IVITROS



Insufflate


Visualize


Inspect


Triangulation


Retraction of tissues


Operation


Seal

Palmer's point

Verses needle insertion in cases of previous abdominal surgery with adhesions



3cm below left costal margin in mid clavicular line

Veress needle

For closed creation of pneumoperitoneum

Hasson's method

Open creation of pneumoperitoneum



Trocars used : Hasson's(blunt) , sharp

Optiport / Visiport

Trocar with transparent end containing camera



In obese patients and pts with previous surgeries : to insert trocar without injury

Capacitance

Broken insulation--> leaky current --> metallic trocar burning abdominal wall skin

ERAS principles

- 6 hrs fasting for solids


- 2 hours fasting for clear liquids


- avoid drains


- postoperative N&V control


- proper pain control


- early initiation of enteral nutrition


- early ambulation

SILS

Single incision laparoscopic surgery


SPAS

Single port access surgery



Other name for SILS

NOTES

Natural orifice translational endoscopic surgery



- oral cavity : POEM, POSE, ROSE


- uterus


- rectum : TATME


- bladder : varicocele surgery