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[开放式腹腔镜检查——改良哈森技术]

[OPEN LAPAROSCOPY--A MODIFIED HASSON TECHNIQUE].

作者信息

Kovachev S, Ganovska A, Atanasova V, Sergeev S, Mutafchiyski V, Vladov N

出版信息

Akush Ginekol (Sofiia). 2015;54(4):52-6.

Abstract

The open technique was first described by Hasson in 1970. This technique consists of creating a small umbilical incision under direct visualization to enter the abdominal cavity followed by the introduction of a blunt trocar. Pneumoperitoneum is then rapidly created. Hasson proposed its potential benefits to be the avoidance of blind insertion of the Veress needle and bladed trocar, prevention of visceral and vascular injuries, preperitoneal insufflation and gas embolism, guaranteed pneumoperitoneum, and a more anatomical repair of the abdominal wall. Since that time, many surgeons have made some modifications to first Hasson technique. Here we described the way we do the open laparoscopy in our hospital and different positive and useful details we put to original Hasson version.

摘要

开放技术于1970年由哈森首次描述。该技术包括在直视下做一个小的脐部切口进入腹腔,随后插入一个钝性套管针。然后迅速建立气腹。哈森提出其潜在益处在于避免韦雷斯针和带刀片套管针的盲目插入,预防内脏和血管损伤、腹膜前充气和气体栓塞,确保气腹,以及更符合解剖结构的腹壁修复。从那时起,许多外科医生对最初的哈森技术做了一些改进。在此我们描述了我院进行开放腹腔镜手术的方法以及我们在原始哈森术式基础上增加的不同的积极且有用的细节。

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