Modified abdominal wall hanging analysis of 24 cases of gynecologic laparoscopic surgery.doc

 PAGE \* MERGEFORMAT 9 Modified abdominal wall hanging analysis of 24 cases of gynecologic laparoscopic surgery [Keywords:] Modified abdominal wall hanging gynecologic laparoscopic surgery Endoscopy, pneumoperitoneum, long equipment operation is laparoscopic surgery in three basic characteristics, but because of pneumoperitoneum on cardiopulmonary function of the impact of pneumoperitoneum can lead to subcutaneous emphysema or mediastinal emphysema, gas embolism, gas and abdominal issues such as the maintenance of , so that gasless laparoscopic surgery carried out by certain restrictions, to address these issues, the last century, the early 90s launched the first Japanese scholar suspended abdominal gynecological laparoscopic surgery [1], the use of suspended operation of the abdominal wall created space, to avoid the of the pneumoperitoneum questions, the same can complete gasless laparoscopy can complete a variety of gynecological surgery; the same time, they used a similar open surgery with surgical instruments, for beginners to a certain extent to avoid the traditional long weapons laparoscopic surgery remote operation difficulties. In recent years, some hospitals have also carried out internally suspended abdominal gynecological laparoscopic surgery [2 ~ 7]. But traditional abdominal suspension operation method in laparoscopic surgery on the abdominal wall incision is larger than gasless laparoscopic surgery, but also for gasless laparoscopic operation of skilled doctors, the traditional laparoscopic surgical instruments abdominal suspension operation is not adaptation, need to re-learn. Therefore, we combine gasless laparoscopy and traditional characteristics of suspended laparoscopic surgery using abdominal wall hanging way of using laparoscopic surgical instruments similar to the air, completing 24 cases of gynecological surgery, are reported below. 1 Data and methods 1.1 General information from May 2005 to December 2007 at the Sir Run Run Shaw Hos