Laparoscopic method
Jun 28, 2022
Artificial pneumoperitoneum
The skin was cut 1cm at the lower edge of the umbilical wheel, and the pneumoperitoneum needle was inserted at 45 degrees from the incision point. After no blood was drawn back, a needle tube was connected. If normal saline flowed smoothly, the puncture was successful, and the needle was in the abdominal cavity. With CO2 aerator, the intake speed should not exceed 1L/min, and the total amount should be 2-3L. The intra-abdominal pressure does not exceed 2.13KPa (16mmHg).
2. Trocar puncture
The laparoscope needs to be inserted into the abdominal cavity with a cannula. The laparoscopic cannula is thick and the incision should be 1.5cm. Lifting the lower abdominal wall of the umbilical cord, the trocar was slowly inserted into the abdominal cavity diagonally and then vertically. When entering the abdominal cavity, there was a sense of breakthrough. The trocar core was pulled out, and the laparoscope was inserted after hearing the gas burst in the abdominal cavity.
3. Laparoscopic observation
The surgeon observed uterus and ligaments, ovaries and fallopian tubes, rectum uterine depression with laparoscope and eyepiece. During observation, the assistant can move the uterus and change the position of the uterus for examination. If necessary, suspicious lesions can be sent for pathological examination.
4. Remove the laparoscope
No internal bleeding or organ injury can be checked before the laparoscope is removed, the gas in the abdominal cavity is drained, the cannula is removed, the abdominal incision is sutured, and the abdominal incision is covered with sterile gauze and fixed with adhesive tape.
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