Image Category: Fundamentals: Access To Abdomen

Diaphragm in spasm then after relaxation

This composite show diaphragm in spasm with high intra-abd pressure . Following relaxation the pressure came down to the set point and diaphragm relaxed

Diaphragm in spasm then after relaxation

This composite show diaphragm in spasm with high intra-abd pressure . Following relaxation the pressure came down to the set point and diaphragm relaxed

diaphragm in spasm

This slide depicts the diaphragm is in spasm. Once relaxation occurs the situation is improved

Bleeding From Trocar Site

A. Bleeding from a trocar site. B. Cantilevering the sheath into each quadrant to find a position that causes the bleeding to stop. When the proper quadrant is found, pressure from the portion of the sheath within the abdomen tamponades the bleeding ve

Bleeding From Abdominal Wall

A. Retractors expose peritoneum. B. Peritoneum is elevated and sharply incised. Two fascial sutures are secured to the struts on the sheath of the open cannula. The cone-shaped sleeve is then pushed firmly into the incision and the setscrew is tightene

Hasson Cannula

Open (Hasson) cannula, reusable type.

Trocar Sites

Optional trocar sites in previously operated abdomen. Consider the open-cannula technique.

Insufflator Readings – 2

At 15mmHg intra-abdominal pressure, 3 to 6L of CO2 will usually have been insufflated; the registered flow should then fall to 0.

Insufflator Readings

After 1L has been insufflated, the set flow is increased to the highest rate.

Initial insufflation readings:

proper inflow at beginning of CO2-Veress needle insufflation.

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