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Outpatient Surgery E-Weekly

Las Vegas GI Doc Facing 28 Felony Counts in Hep C Case

Las Vegas physician Dipak Desai, MD, will face all 28 felony charges filed against him for allegedly exposing patients to hepatitis C, according to ...

New Device Helps Obese Patients Breathe Easier

Rice University engineering students have come up with a novel approach for lifting the excess abdomen weight that can hamper obese patients' breath...

How Effective are Your Infection Prevention Efforts?

Are your infection prevention efforts up to speed? It's generally advisable to find out before a site surveyor from a regulating or accrediting agen...

Archive >  Abdominal Surgery 2011

Worry-Free Access

Inserting trocars is a potentially dangerous exercise, but it doesn"t have to be.

Eric Haas, MD, FACS

The overall incidence of inadvertent trocar injury is very low, but can be devastating when it does occur. Let's look at the inherent dangers associated with trocar access, the commonly used insertion techniques and a brief overview of the types of devices that can limit harm to patients.

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Keywords:
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The risks; The techniques; 8 Trocar Safety Essentials; A single solution?; Bladeless; Blood; Essentials Keep; Guide; Hasson; Hasson, Veress; Hasson. Hasson; Here's; Insert; Let's; Make; Optical; Position; Remove; Safe; Safety Essentials Keep; Shielded Trocars”; Stop; Surgeons; Trocar Safety Essentials Keep; Trocars”; University; Veress; We're; abdomen's; access; accommodate; acute; advancement; alternative; anatomical; approach; approximately; arm; array; begun; bladed; bladeless; blood; blunt; bowel; camera; cannula's; cases; caution; chamber; common; commonly; complications; considered; contact; continued; controlled; correct; dangers; days; delayed; dense; designed; devastating; development; develops; devices; direct; directed; directly; distension; edges; eliminating; emergency; employ; endoscopic; enter; entry; entry's; essentially; experienced; expert; exploring; extreme; fascia; fascial; feasible; felt; field; fine-tipped; firm; firmly; found; gain; general; generally; gripping; handling; harm; hernia; higher; ileac; important; inadvertent; incidence; incision; increase; indication; infection; inherent; injuries; injury; insert; insertion; instrument; insufflation; intended; internal; intra-abdominal; invasive; involves; involving; laparoscopic; large; layers; limit; liver; loss; lower; major; make; managing; massive; medical; mind; mini-laparotomy; minimal-access; minimally; motion; movement; multi-port; multiple; nearby; needle; non-profit; noticed; occur; open; operating; optical; overview; patient; patient's; patients; penetrate; perforating; perforation; performed; performing; peritoneum; periumbilical; placing; pneumoperitoneum; post-op; potential; precautions; pressing; pressure; previous; primary; prior; procedures; push; pushing; quickest; rates; re-operative; readily; realized; recent; reducing; releases; repair; replaced; requiring; research; resistance; result; resulting; risk; safe; safest; scars; significantly; single; single-incision; slightest; spear-like; staff; standard; steadily; structures; surgeon; surgery; surgical; technique; techniques; tightly; tips; transfusions; trauma; trocar; trocar-related; trocar-site; trocar's; trocars; true; twisting; types; typically; undergone; underlying; unfamiliar; unnoticed; unusual; vascular; vasculature; vessel; watch; who's; wide; withdraw; —; “Surgeon's; “blind”

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