Other Surgical Procedures
Conditions
Keywords
Laparoscopic access, Abdominal wall lifting, Direct trocar insertion, Safety endoscopy
Brief summary
In laparoscopy, over %50 of the all complications occur during establishment of the pneumoperitoneum. Lifting of the anterior abdominal wall is aimed to increase the distance between the abdominal wall and the intrabdominal structures. Elevation of the anterior abdominal wall is recommended for the access to peritoneal cavity in literatures however the benefit exactly has not proved. This study aimed to determine the distance from anterior abdominal wall to intraperitoneal structures during lifting of the abdominal wall, to represent this distance -on the average- generate the safe range whether or not and compare with this distance and patient's age, BMI and parity.
Detailed description
40 patients who undergoing laparoscopic surgery for various indications are enrolled in the study. The telescope is inserted at second trocar place and the distances between anterior abdominal wall and visceral organs are measured with plastic hysterometry during maximal elevation of the abdominal wall.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* the patients who performed laparoscopic surgery
Exclusion criteria
* the patients who suspected pregnancy * large scale intrabdominal mass
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure of this study is to determine the distance in centimeters from anterior abdominal wall to intraperitoneal visceral structures during lifting of the abdominal wall with plastic hysterometry. | 2-3 months |
Countries
Turkey (Türkiye)