Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
1973-8-28
|
| pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/BURNS,
http://linkedlifedata.com/resource/pubmed/keyword/Diseases,
http://linkedlifedata.com/resource/pubmed/keyword/Endoscopy,
http://linkedlifedata.com/resource/pubmed/keyword/Equipment And Supplies,
http://linkedlifedata.com/resource/pubmed/keyword/Examinations And Diagnoses,
http://linkedlifedata.com/resource/pubmed/keyword/FORCEPS,
http://linkedlifedata.com/resource/pubmed/keyword/Family Planning,
http://linkedlifedata.com/resource/pubmed/keyword/Female Sterilization--complications,
http://linkedlifedata.com/resource/pubmed/keyword/Insufflation,
http://linkedlifedata.com/resource/pubmed/keyword/LAPAROSCOPY,
http://linkedlifedata.com/resource/pubmed/keyword/PNEUMOPERITONEUM,
http://linkedlifedata.com/resource/pubmed/keyword/Physical Examinations And Diagnoses,
http://linkedlifedata.com/resource/pubmed/keyword/Signs And Symptoms,
http://linkedlifedata.com/resource/pubmed/keyword/Sterilization, Sexual,
http://linkedlifedata.com/resource/pubmed/keyword/Surgery,
http://linkedlifedata.com/resource/pubmed/keyword/Surgical Equipment,
http://linkedlifedata.com/resource/pubmed/keyword/TROCAR,
http://linkedlifedata.com/resource/pubmed/keyword/Treatment
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jun
|
| pubmed:issn |
0024-7758
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
10
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
276-84
|
| pubmed:dateRevised |
2007-11-15
|
| pubmed:otherAbstract |
PIP: It is estimated that approximately 10,000 gynecological laparoscopies have been performed each year for the last 2 years and the number is increasing. This is a report on the evaluation of 14 separate endoscopic instruments. To produce pneumoperitoneum, air has been replaced by carbon dioxide gas or nitrous oxygen. The Semm insufflator measures the intra-abdominal pressure and indicates when the inflow of gas meets resistance. This aids in determining the proper position of the needle. The clinical impression is that intra-abdominal pressure in the vicinity of 25 mm Hg rather than 16 mm is most important. The Veress pneumo-needle with the spring-loaded stylet helps avoid injury to viscera. The trocar is the most dangerous tool. The smallest (7 mm) diameter with the shortest sharp tip is recommended. The first optical system (invented in 1875) has been replaced by the "rod-lens" system, which increases light transmission, gives a brighter image, has a wider viewing angle, and has a smaller outside diameter of the telescope. Use of a second trocar is safer because introduction is observed under visual control. The punch-type of biopsy forceps provides a smooth sharp cut dividing the tubes after coagulation and transects a 3 mm sample for microscopic examination. Another smaller trocar may be needed to pass through a grasping forceps to hold the ovary in position if a biopsy of the ovary is needed. The coagulation-suction probe may be used if hemorrhage obscures the operating field. Burn accidents may occur unless half to 1 inch of the insulated part of the instrument protrudes beyond the metal trocar. Solid-state electro-surgical units are recommended over the old spark-gap-generation type. Proper inspection of all electrical equipment before use is needed to prevent burns. After appropriate cleaning and drying of instruments, gas sterilization is recommended. The single puncture approach is not recommended as two trocars are more efficient. Under investigation are: documentation of findings by compact 35 mm cameras or 16 mm movies, more safe illumination without large trocars, less heat production from light source, and special light-weight cameras. Adequte physician training and experience is the most important factor. The best instruments cannot substitute for thorough training.
|
| pubmed:meshHeading |
pubmed-meshheading:4268366-Burns, Electric,
pubmed-meshheading:4268366-Carbon Dioxide,
pubmed-meshheading:4268366-Female,
pubmed-meshheading:4268366-Genital Diseases, Female,
pubmed-meshheading:4268366-Humans,
pubmed-meshheading:4268366-Laparoscopes,
pubmed-meshheading:4268366-Laparoscopy,
pubmed-meshheading:4268366-Miniaturization,
pubmed-meshheading:4268366-Motion Pictures as Topic,
pubmed-meshheading:4268366-Photography,
pubmed-meshheading:4268366-Pneumoperitoneum, Artificial,
pubmed-meshheading:4268366-Punctures,
pubmed-meshheading:4268366-Television
|
| pubmed:year |
1973
|
| pubmed:articleTitle |
The importance of instrumentation and documentation in gynecological laparoscopy.
|
| pubmed:publicationType |
Journal Article
|