Can Laparoscopy Be Performed After Multiple Laparotomies? скачать в хорошем качестве

Can Laparoscopy Be Performed After Multiple Laparotomies?

Can Laparoscopy Be Performed in a Patient with Multiple Previous Laparotomies? Many gynecologists hesitate to perform laparoscopy in patients with a history of multiple laparotomies due to the risk of bowel adhesions. These adhesions can increase the chance of bowel perforation when inserting the trocar, leading many doctors to opt for another laparotomy instead. 💡 Key Considerations for Laparoscopy After Laparotomy: 1. Adhesion Risk & Incision Type: Low Risk: Previous C-sections and suprapubic transverse incisions High Risk: Midline incisions (greater chance of bowel & omental adhesions) 2. Safe Trocar Insertion Technique: Using the Veress needle at Palmer’s Point (below the left ribcage) reduces the risk of complications. A 5mm trocar can be used first to assess adhesions. 3. Conversion to Laparotomy: If adhesions are too extensive, conversion to open surgery remains an option. The surgeon’s experience plays a critical role in decision-making. 🏥 Conclusion: Laparoscopy is still possible after previous surgeries, but the risks must be carefully evaluated. With proper techniques, many cases can still be managed laparoscopically. 🔔 Subscribe for more medical insights! 💖 📢 Share this video to help others understand laparoscopy after multiple surgeries! #Laparoscopy #MinimallyInvasiveSurgery #Gynecology #SurgicalAdhesions #MedicalEducation