A New Way To Enter The First (Optical) Port When Performing Simultaneous Operations Combined With A Combination Of Symptomatic Gsd And Left-Sided Inguinal Hernia
DOI:
https://doi.org/10.11603/2414-4533.2017.1.7630Keywords:
safe pneumoperitoneum, first port, simultaneous operations, laparoscopic cholecystectomy, inguinal hernia.Abstract
The aim of the work: a new safe method of inserting the first (optical) port when performing simultaneous operations for GSD and left-sided inguinal hernia is described.
The essence of the method is in the performing of combined surgical interference, which begins with herniotomy of groin hernia and hernia sac separation. The next stage of the operation is the insertion into the abdominal cavity the first (optical) troacar through the hernia sac. The hernia sac is ligatured on the optical port to seal hermetically the abdomen and to lay pneumoperitoneum. Laparoscopic cholecystectomy is performed after insertion of 2–4 ports in typical points. The gallbladder is removed through the inguinal hernia sac. After the resection of the hernia sac is performed hernioplasty. The described method allows absolutely safely to put pneumoperitoneum, remove the gallbladder without expanding cut even with big gallstones and significantly reduce the time of two simultaneous operations.
References
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