Previous abdominal surgery is one of the relative contraindications to safe induction of pneumoperitoneum with a Veress needle. Similarly visual inspection with a telescope may be limited and instrumental manipulation difficult. The manual ability to distract bowel loops and finger dissect greatly facilitates adhesiolysis and this is lost with conventional laparoscopy. A novel hand-access port is described which combines manual tactile ability with minimally invasive laparoscopic adhesiolysis.
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Gorey, T.F., Tierney, S., O’Riordain, M. et al. Case report: Combined hand access with laparoscopic pneumoperitoneum in intraperitoneal adhesiolysis. I J M S 165, 297–298 (1996). https://doi.org/10.1007/BF02943096
- Veress Needle
- Conventional Laparoscopy
- Extensive Adhesion
- Mater Hospital