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 Withdrawn Veress needle and insert 10 mm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 Withdrawn Trocor and insert laparoscope,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.
Any questions be sent to drmmkapur@gmail.com
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