Endoscopic Threaded Imaging Port (EndoTIP) for Laparoscopy: Experience with Different Body Weights

Ternamian, Artin; Deitel, Mervyn

doi:10.1381/096089299765553746

Cited by 43 publications

(19 citation statements)

References 14 publications

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“…The pneumoperitoneum was established with a subumbilically placed Veress needle to a pressure of 20 mmHg. A 10-mm blunt threaded imaging trocar (EndoTip; Karl Storz, Tuttlingen, Germany) was used in a conventional manner with an high definition camera and the ECAM set at 0°to display the layers of the abdominal wall during insertion [7].…”

Section: Operative Proceduresmentioning

confidence: 99%

A new variable-view rigid endoscope evaluated in advanced gynecologic laparoscopy: a pilot study

Eskef

Oehmke

Tchartchian³

et al. 2011

Surg Endosc

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Section: Operative Proceduresmentioning

confidence: 99%

A new variable-view rigid endoscope evaluated in advanced gynecologic laparoscopy: a pilot study

Eskef

Oehmke

Tchartchian³

et al. 2011

Surg Endosc

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“…The different layers are easy to differentiate, and the peritoneum is pierced only after it has been ascertained that the abdominal wall is free of adherent bowel. (18,23,28,29). Endopath TM (Ethicon, Johnson & Johnson; New Brunswick, NJ, USA) has a cannula-integrated thread design that provides greater abdominal wall retention and minimal trocar slip-outs.…”

Section: Entry Under Visionmentioning

confidence: 99%

Abdominal anatomy in the context of port placement and trocars

Alkatout¹,

Mettler²,

Maass³

et al. 2015

J Turkish German Gynecol Assoc

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Review 241Introduction Extra-abdominal relevant anatomy Anatomical basis: The anterior abdominal wall has four muscles that are penetrated at all entries: rectus abdominis, external obliquus abdominis, internal obliquus abdominis, and transversus abdominis. Although the penetrating areas are variable in laparoscopy, the usual trocar placement uses similar inserting areas. Therefore, it is obligatory for any surgeon to be experienced in the anatomy of the abdominal wall and its consecutive relevant anatomical structures. There are no significant vascular structures that need to be respected upon insertion of the subumbilical trocar. Solely, strict attention has to be given to holding to the median line to avoid any accidental damage to paramedian structures. There are two arteries in the superficial abdominal wall that should be visualized. Damage to these arteries should be avoided because even superficial incisions can lead to severe bleeding that requires the conversion from laparoscopy to laparotomy. Both vessels can be visualized by diaphanoscopy (Figures 1-4). Trocar placement is performed, dependent on the corresponding internal site, at a 90° angle to the abdominal wall once the aiming point has been located. The superficial epigastric artery arises from the femoral artery approximately 1 cm below the inguinal ligament through the fascia cribrosa, turns upward in front of the inguinal ligament, and then ascends while spreading out between the two layers of the superficial fascia of the abdominal wall, nearly as far as the umbilicus. The circumflex iliac superficial artery originates from the femoral artery close to the superficial epigastric artery. After perforating the fascia lata, it runs parallel to the inguinal ligament and laterally to the iliac crist while spreading into smaller branches (1). Places for trocar insertionThe laparoscope and optic trocar should be inserted, whenever possible, in the subumbilical region using a semilunar or straight incision (Figure 1). Only if trocar placement is not possible, e.g., due to severe adhesions or large intra-abdominal tumors, are alternative entry sites negotiated, e.g., above the umbilicus or Palmer's point (Figure 5), as a precursor entry site.The placement for the working trocars depends on the operation. If the operative focus is located in the pelvis and no large tumor is expected to be touching the umbilical region, the two working trocars can be inserted in the lower abdominal wall in a vessel-free area, as confirmed by diaphanoscopy. Any auxiliary trocar can be placed in the midline suprasymphysically or left of the midline. A maximum distance between the optic trocar and the working trocars should be Although the anatomy of the human being has not changed, technical developments in operating materials and methods demand a simultaneous development in operative management. Developments in electronic and optical technologies permit many gynecological operations to be performed laparoscopically. One fundamental distinction between any other operating...

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“…EndoTIP in obez hastalardada güvenle kullan›labilece¤i belirtilmifltir (45) . olarak önerilmemektedir (39) .…”

Section: G‹r‹fiunclassified

Different Access Areas, Access Techiques and Trocar Types in Transperitoneal Laparoscopy

Bozkurt¹,

Yumru²

2013

J Turk Soc Obstet Gynecol

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(1,2) . Bundan baflka laparoskopik cerrahinin laparatomik cerrahiye oranla daha az komplikasyon h›z›na sahip oldu¤una dair veriler mevcuttur (3,4) . Laparoskopik cerrahinin relatif güvenli olmas›na ra¤men istenmeyen ciddi ba¤›rsak, mesane ve vasküler hasara neden olmas›, komplike ekipmanlar gerektirmesi ve uzun ö¤renme e¤risi kullan›m›n› k›s›tlamaktad›r (5,6) . Ciddi komplikasyonlar›n ço¤u trokar yerleflimi ile iliflkilidir (7,8) . Bu DIFFERENT ACCESS AREAS, ACCESS TECHNIQUES AND TROCAR TYPES IN TRANSPERITONEAL LAPAROSCOPY SUMMARYLaparoscopy has enabled a radical change of practice for surgeons over the last two decades. In general, laparoscopic surgery leads to less scarring, less postoperative pain and more rapid healing rates compared to laparotomy (1,2) . Data are also available indicating that laparoscopic surgery has lesser complication rates compared to laparotomic surgery (3,4) . Although laparoscopic surgery is relatively safe, its causes unwanted and severe intestinal, bladder and vascular injury, requiring complicated equipment and a long learning curve limit is required for surgeons to master its use (5,6) . Most of the severe complications are related to trocar insertion (7,8) .

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Endoscopic Threaded Imaging Port (EndoTIP) for Laparoscopy: Experience with Different Body Weights

Abstract: This reusable cannula was found to be safe for any body weight.

Cited by 43 publications

References 14 publications

A new variable-view rigid endoscope evaluated in advanced gynecologic laparoscopy: a pilot study

A new variable-view rigid endoscope evaluated in advanced gynecologic laparoscopy: a pilot study

Abdominal anatomy in the context of port placement and trocars

Different Access Areas, Access Techiques and Trocar Types in Transperitoneal Laparoscopy

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