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Digital Issues

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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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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