Takuya Sugimoto, MD, Ken Hayashi, MD, PhD, Yoshiyuki Kiyasu, MD, Kenju Ko, MD, PhD, Nobuyasu Kano, MD, PhD, FACS
Kameda Medical Center
[INTRODUCTION] Surgeons are always worried about adhesion when performing
surgery, especially laparoscopic surgery in patients with past abdominal surgical history (PASH). To avoid injuries in these patients, a lot of methods have been reported. Examination by abdominal ultrasound is one of the useful methods. We report how to detect adhesions in the abdominal cavity in our hospital
[Procedures] Before operation, patients with PASH are examined by abdominal ultrasound. From the movement of intra-abdominal fat or intestines with respiration, it is presumed whether adhesion exists, what adheres, or where.
[RESULTS] The result of the examination, insertion site of the first trocar is decided.
[CONCLUSION] It is an easy method to detect adhesions before surgery. If suspicious, it is better to change the insertion site of the first trocar.
Session: Poster Presentation
Program Number: P600