Rotating wheels on the headpiece of the endoscope
Rotating wheels on the headpiece of the endoscope control tip deflection. Instruments may be passed through an access port, which is kept capped when not in use (to prevent loss of insufflation and splashing of fluids).
Creating myotomy with a laparoscopic myotome
A. The myotomy is created with a laparoscopic myotome. Make this incision relatively shallow. Traction is applied by a grasper through the righthand port.
Demonstration of port placement
Demonstration of port placement for repair of a ventral hernia in the upper abdomen. Place the first trocar in the lower midline, 2 or 3 in. inferior to the ventral hernia. Ventral hernias in the lower abdomen require placement of the camera port in the u