Gangal H T, Gangal M H
Endoscopy. 1987 May;19(3):127-9. doi: 10.1055/s-2007-1018257.
Occasionally the surgeon has to venture into exploratory laparotomy, in order to confirm his assessment and also to treat accordingly. However, laparoscopy has become a means of minimising such situations for the surgeon. Against this background few surgeons have of late, been using the laparoscope for confirming or discounting the particular pathology before proceeding to laparotomy. The laparoscopic procedure needs adequate knowledge, experience and precision in handling the instruments. The recent extensive upsurge in female sterilization via the laparoscope in India has made it possible to develop techniques which are new and different from the ones practiced in developed countries. Compelling occasions on the author leading to successful closure of the trochar perforation of the colon on the spot with the help of a band applicator alone has led to the concept of appendicectomy in practice; More so with the author's modified band applicator. This procedure can readily be mastered by the endoscopic surgeon.
偶尔，外科医生不得不进行剖腹探查术，以确认其评估结果并进行相应治疗。然而，腹腔镜检查已成为外科医生减少此类情况的一种手段。在此背景下，最近很少有外科医生在进行剖腹手术前使用腹腔镜来确认或排除特定的病理情况。腹腔镜手术需要在操作器械方面具备足够的知识、经验和精准度。印度最近通过腹腔镜进行女性绝育手术的广泛兴起，使得开发出与发达国家所采用的技术不同的新技术成为可能。作者在一些特殊情况下，仅借助一个套扎器就成功地当场封闭了结肠穿刺孔，从而在实践中引出了阑尾切除术的概念；使用作者改良的套扎器时更是如此。这种手术方法内镜外科医生很容易掌握。
