Friday, February 7, 2014

ENDOSCOPY 7 Laproscopy 2 steps


Anesthesia
Local anesthesia for intraluminal surgery or general anesthesia.
Position
Supine.
Procedure
         1.      A small 0.5 cm incision is given just below the umbilicus.
         2.      Lift the abdominal wall between thumb and finger and insert Veress needle.
         3.      The entry of the needle through rectus sheath and peritoneum will be signaled by the sucking of the air through the needle.
         4.      The needle should be freely mobile and on aspiration there is no blood.
         5.      Connect the insufflator, the pressure on the gauge should be less than 4 mm.
         6.      Allow gas flow at 1 liter per minute and stop when 2.53 liter have been insufflated.
         7.      Percuss the liver to confirm loss of liver dullness.
         8.      Withdrawn Veress needle and insert 10 mm Trocor and Cannula.
         9.      Withdrawn Trocor and insert laparoscope, connect insufflator to the laparoscope.
         10.    Inspect abdominal cavity through eyepiece.
         11.    Create accessory openings relevant to the procedure.

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