Mapping of Intraabdominal Adhesions By Ultrasound for Preventing Injuries By the First Trocar Insersion

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

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