EVSEN METHOD a New Technique ın Laparoscopic Abdominal Access Modified Veress Technique скачать в хорошем качестве

EVSEN METHOD a New Technique ın Laparoscopic Abdominal Access Modified Veress Technique

For abdominal access, subumbilical or supraumbilical skin incision was made with scalpel at a distance of 1- 1,3 cm. Until the anterior abdominal wall fascia is felt with the tip of the index finger of the left hand (or inactive hand), subcutaneous tissue and subcutaneous fascia were dissected bluntly or sharply with scissors. On the midline abdomen, the anterior abdominal wall was lifted up with clamps at a depth of around 1-3 cm from the left and right lateral sides at a distance of 3 cm to the skin incision. After the fascia of the anterior abdominal wall was felt with the tip of the index finger, the Veress needle was inserted into the fascia of the anterior abdominal wall at an angle of 90 degrees under the guidance of fingertip. Veress needle was advanced 2-3 cm under the guidance of the tip of the index finger and peritoneal cavity was entered after the confirmation of entrance tests the abdomen was insufflated. Briefly Evsen method could be explained: Modified Veress technique or Veress technique with the guidance and control of index finger. a