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Dislodged Laparoscopic Cannulas

  • Emily Steinhagen
  • Scott R. Steele
Chapter

Abstract

In very thin patients with a thin abdominal wall, avoiding cannula slippage can be challenging as the subcutaneous tissues help hold the trocar in place. In addition, significant amounts of torque placed on the trocar during the operation can increase the size of the fascial defect. When the cannula slips out, it can be difficult to find the original tract to re-place it. This problem can add time to the surgery and can be frustrating when it occurs repeatedly. In this chapter we will review methods to help with avoiding or managing dislodged cannulas.

Keywords

Cannulas Minimally invasive surgery Trocars 

Suggested Reading

  1. 1.
    Hamade AM, Issa ME, Haylett KR, Ammori BJ. Fixity of ports to the abdominal wall during laparoscopic surgery: a randomized comparison of cutting versus blunt trocars. Surg Endosc. 2007;21(6):965–9.  https://doi.org/10.1007/s00464-006-9142-3.CrossRefPubMedGoogle Scholar
  2. 2.
    Vrentas V, Herrmann A, Cezar C, Tchartchian G, Diesfeld P, De Wilde RL. Reducing trocar movement in operative laparoscopy through use of a fixator. J Minim Invasive Gynecol. 2013;20(6):842–7.  https://doi.org/10.1016/j.jmig.2013.05.010.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Emily Steinhagen
    • 1
  • Scott R. Steele
    • 2
    • 3
  1. 1.University Hospitals Case Medical Center, Department of SurgeryClevelandUSA
  2. 2.Case Western Reserve University School of MedicineClevelandUSA
  3. 3.Department of Colorectal SurgeryCleveland ClinicClevelandUSA

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