Peritoneoscopy: A Critical Clinical Review

From the Lumen to the Laparoscope

“…It is of some interest that toward the end of his career, Ruddock published a second article 53 reviewing his experience with 5000 cases. In this article, 53 he extended the indications for peritoneoscopy to the "determination of extent of intra-abdominal injuries, drainage of abscesses and cysts and the lysis of abdominal adhesions," in addition to the diagnostic procedures that he had previously noted.…”

“…In this article, 53 he extended the indications for peritoneoscopy to the "determination of extent of intra-abdominal injuries, drainage of abscesses and cysts and the lysis of abdominal adhesions," in addition to the diagnostic procedures that he had previously noted. The series included almost 100 infants and children.…”

Peritoneoscopy in Private Practice

“…However, interest in this procedure has revived because of ( 1) the development of instruments that are safer and easier to use and afford better vision, (2) increased knowledge of liver diseases, and ( 3) more extensive use of needle biopsy. The value of peritoneoscopy continues to be confirmed; 1-9 however, it is still not available in many hospitals.…”

Exposure of the operative field in laparoscopic surgery

“…In 1957 Ruddock still recommended ''unfiltered air by means of a baumanometer bulb. Air makes a perfect visualization medium, and objects appear in their natural proportion and color without distortion'' [25]. Five years later Heinz Kalk (1895Kalk ( -1973, in his second book about laparoscopy, still preferred the injection of room air by using of a 500-ml syringe, still without pressure control [11] (Fig.…”