Laparoscopy after previous laparotomy
Following the abdominal surgery, extensive adhesions often occur and they can cause difficulties during laparoscopic operations. However, previous laparotomy is not considered to be a contraindication for laparoscopy. The aim of this study is to present that an insertion of Veres needle in the regio...
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| Veröffentlicht in: | Bosnian journal of basic medical sciences 2006-11, Vol.6 (4), p.45-47 |
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| creator | Godinjak, Zulfo Idrizbegović, Edin Begić, Kerim |
| description | Following the abdominal surgery, extensive adhesions often occur and they can cause difficulties during laparoscopic operations. However, previous laparotomy is not considered to be a contraindication for laparoscopy. The aim of this study is to present that an insertion of Veres needle in the region of umbilicus is a safe method for creating a pneumoperitoneum for laparoscopic operations after previous laparotomy. In the last three years, we have performed 144 laparoscopic operations in patients that previously underwent one or two laparotomies. Pathology of digestive system, genital organs, Cesarean Section or abdominal war injuries were the most common causes of previous laparotomy. During those operations or during entering into abdominal cavity we have not experienced any complications, while in 7 patients we performed conversion to laparotomy following the diagnostic laparoscopy. In all patients an insertion of Veres needle and trocar insertion in the umbilical region was performed, namely a technique of closed laparoscopy. Not even in one patient adhesions in the region of umbilicus were found, and no abdominal organs were injured. |
| doi_str_mv | 10.17305/bjbms.2006.3119 |
| format | Article |
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However, previous laparotomy is not considered to be a contraindication for laparoscopy. The aim of this study is to present that an insertion of Veres needle in the region of umbilicus is a safe method for creating a pneumoperitoneum for laparoscopic operations after previous laparotomy. In the last three years, we have performed 144 laparoscopic operations in patients that previously underwent one or two laparotomies. Pathology of digestive system, genital organs, Cesarean Section or abdominal war injuries were the most common causes of previous laparotomy. During those operations or during entering into abdominal cavity we have not experienced any complications, while in 7 patients we performed conversion to laparotomy following the diagnostic laparoscopy. In all patients an insertion of Veres needle and trocar insertion in the umbilical region was performed, namely a technique of closed laparoscopy. Not even in one patient adhesions in the region of umbilicus were found, and no abdominal organs were injured.</description><identifier>ISSN: 1512-8601</identifier><identifier>EISSN: 1840-4812</identifier><identifier>DOI: 10.17305/bjbms.2006.3119</identifier><identifier>PMID: 17177649</identifier><language>eng</language><publisher>Bosnia and Herzegovina: Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina</publisher><subject>Abdomen - surgery ; Humans ; Laparoscopy - methods ; Laparotomy ; Needles ; Pneumoperitoneum, Artificial ; Postoperative Complications - pathology ; Retrospective Studies ; Tissue Adhesions - pathology ; Umbilicus</subject><ispartof>Bosnian journal of basic medical sciences, 2006-11, Vol.6 (4), p.45-47</ispartof><rights>Copyright: © 2006 ABMSFBIH 2006</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5807968/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5807968/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17177649$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Godinjak, Zulfo</creatorcontrib><creatorcontrib>Idrizbegović, Edin</creatorcontrib><creatorcontrib>Begić, Kerim</creatorcontrib><title>Laparoscopy after previous laparotomy</title><title>Bosnian journal of basic medical sciences</title><addtitle>Bosn J Basic Med Sci</addtitle><description>Following the abdominal surgery, extensive adhesions often occur and they can cause difficulties during laparoscopic operations. However, previous laparotomy is not considered to be a contraindication for laparoscopy. The aim of this study is to present that an insertion of Veres needle in the region of umbilicus is a safe method for creating a pneumoperitoneum for laparoscopic operations after previous laparotomy. In the last three years, we have performed 144 laparoscopic operations in patients that previously underwent one or two laparotomies. Pathology of digestive system, genital organs, Cesarean Section or abdominal war injuries were the most common causes of previous laparotomy. During those operations or during entering into abdominal cavity we have not experienced any complications, while in 7 patients we performed conversion to laparotomy following the diagnostic laparoscopy. In all patients an insertion of Veres needle and trocar insertion in the umbilical region was performed, namely a technique of closed laparoscopy. Not even in one patient adhesions in the region of umbilicus were found, and no abdominal organs were injured.</description><subject>Abdomen - surgery</subject><subject>Humans</subject><subject>Laparoscopy - methods</subject><subject>Laparotomy</subject><subject>Needles</subject><subject>Pneumoperitoneum, Artificial</subject><subject>Postoperative Complications - pathology</subject><subject>Retrospective Studies</subject><subject>Tissue Adhesions - pathology</subject><subject>Umbilicus</subject><issn>1512-8601</issn><issn>1840-4812</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkElPwzAQhS0EoqVw54R6gVuKx05s54KEKjapEhc4W14hVVIHO6nUf0-6iOU0I82b92Y-hC4Bz4BTXNzqpW7SjGDMZhSgPEJjEDnOcgHkeOgLIJlgGEboLKXloCqpyE_RCDhwzvJyjK4XqlUxJBPazVT5zsVpG926Cn2a1rtRF5rNOTrxqk7u4lAn6P3x4W3-nC1en17m94vMEIK7jFluqM9tyWgORDsPhBtnvVbaY8IKRkqgXFnwZa4KrZxTxlpLRcGMcgXQCbrb-7a9bpw1btVFVcs2Vo2KGxlUJf9PVtWn_AhrWQjMSyYGg5uDQQxfvUudbKpkXF2rlRtekkwQRrHYJuG90AzPp-j8TwhguWMrd2zllq3csh1Wrv4e97twgEm_AQHfeCA</recordid><startdate>20061101</startdate><enddate>20061101</enddate><creator>Godinjak, Zulfo</creator><creator>Idrizbegović, Edin</creator><creator>Begić, Kerim</creator><general>Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20061101</creationdate><title>Laparoscopy after previous laparotomy</title><author>Godinjak, Zulfo ; Idrizbegović, Edin ; Begić, Kerim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c220t-6d7c3f4d963412bef127cedfbabf0265629137ad1f94a5baeeacddd3856cae513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Abdomen - surgery</topic><topic>Humans</topic><topic>Laparoscopy - methods</topic><topic>Laparotomy</topic><topic>Needles</topic><topic>Pneumoperitoneum, Artificial</topic><topic>Postoperative Complications - pathology</topic><topic>Retrospective Studies</topic><topic>Tissue Adhesions - pathology</topic><topic>Umbilicus</topic><toplevel>online_resources</toplevel><creatorcontrib>Godinjak, Zulfo</creatorcontrib><creatorcontrib>Idrizbegović, Edin</creatorcontrib><creatorcontrib>Begić, Kerim</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Bosnian journal of basic medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Godinjak, Zulfo</au><au>Idrizbegović, Edin</au><au>Begić, Kerim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopy after previous laparotomy</atitle><jtitle>Bosnian journal of basic medical sciences</jtitle><addtitle>Bosn J Basic Med Sci</addtitle><date>2006-11-01</date><risdate>2006</risdate><volume>6</volume><issue>4</issue><spage>45</spage><epage>47</epage><pages>45-47</pages><issn>1512-8601</issn><eissn>1840-4812</eissn><abstract>Following the abdominal surgery, extensive adhesions often occur and they can cause difficulties during laparoscopic operations. However, previous laparotomy is not considered to be a contraindication for laparoscopy. The aim of this study is to present that an insertion of Veres needle in the region of umbilicus is a safe method for creating a pneumoperitoneum for laparoscopic operations after previous laparotomy. In the last three years, we have performed 144 laparoscopic operations in patients that previously underwent one or two laparotomies. Pathology of digestive system, genital organs, Cesarean Section or abdominal war injuries were the most common causes of previous laparotomy. During those operations or during entering into abdominal cavity we have not experienced any complications, while in 7 patients we performed conversion to laparotomy following the diagnostic laparoscopy. In all patients an insertion of Veres needle and trocar insertion in the umbilical region was performed, namely a technique of closed laparoscopy. 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| ispartof | Bosnian journal of basic medical sciences, 2006-11, Vol.6 (4), p.45-47 |
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| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Abdomen - surgery Humans Laparoscopy - methods Laparotomy Needles Pneumoperitoneum, Artificial Postoperative Complications - pathology Retrospective Studies Tissue Adhesions - pathology Umbilicus |
| title | Laparoscopy after previous laparotomy |
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