Gynecological procedures under gasless laparoscopy
10.3760/j.issn:0366-6999.2001.05.017
- VernacularTitle:无气腹腹腔镜下的妇科手术
- Author:
Bin LI
1
;
Jingning HAO
;
Xiuzhen GAO
;
Tao LIU
;
Jun ZHANG
;
Hong WANG
;
Ying CHEN
;
Jixiang WU
Author Information
1. Anzhen Hospital Capital University of Medical Sciences
- From:
Chinese Medical Journal
2001;114(5):514-516
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate gasless laparoscopy in treating gynecological conditions.Methods With Kirschner wire lifting, transversely or longitudinally introduced into abdominal wall subcutaneously, we exposed the operative field and pelvic organs with routine operative instruments under epidural anesthesia. When a dense pelvic adhesion was confronted, we used the temporarily low-pressured pneumolaparoscopy to dissect it.Results All procedures were carried out without organ injury, hematorna, or other complications. The operative field can be clearly seen with this method. The mean time for appendagectorny was one hour and for laparoscopic assisted vaginal hysterectomy 80 minutes.Conclusion Gasless laparoscopy avoids the complications which occur in the routine laparoscopy such as subcutaneous or mediastinal pneurnatoma, hypercarbonernia, air embolism, cardiopulmonary dysfunction.Our lifting method is simple, convenient, time and money saving, as well as more flexible for treating gynecological conditions.
