The surgeon deflates the abdomen by turning off the insufflator, opening the trocar ports, and suctioning the abdominal cavity. |
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The risks of the procedure include bile duct injuries and trocar injuries to blood vessels and abdominal viscera. |
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Following his progress on a fluoroscope monitor, he slowly advanced the trocar until it reached the edge of the disk above the ruptured one. |
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The trigger is not fired until the exact anatomical position of the trocar tip is known. |
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The volume of gas insufflated does not represent a decision step for the introduction of the trocar. |
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Trocar complications have been reported, most commonly abdominal wall vessel injury and intestinal herniation through large trocar sites. |
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For lesions between 5 and 10 cm, the pneumoperitoneum is created in the left hypochondrium and the trocar inserted in the umbilicus. |
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Another 10 mm trocar for the endoscope will be positioned further up halfway between the umbilicus and the xiphoid process. |
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For lesions measuring less than 5 cm, the pneumoperitoneum needle and the optics trocar are inserted in the umbilicus. |
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All the tissues excised during this lymphadenectomy are placed in an endoscopic bag and removed immediately via the 10 mm midline trocar. |
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Once the exact anatomical position of the trocar tip is verified on the monitor, downward axial pressure is applied while activating the trigger. |
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The Visiport optical trocar comes in only one diameter and accommodates only a 10 mm laparoscope. |
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The Visiport optical trocar is a disposable visual entry instrument that comprises a hollow trocar and a cannula. |
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While inserting the implants, try not to remove the trocar from the incision. |
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The device can be used only with 5 mm diameter trocar. Insert the entire device into the trocar, controlling compatibility and seal. |
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Make a small incision with a scalpel or trocar in the skin on the inside of the upper arm. |
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The mark closest to the hub indicates how far the trocar should be introduced under the skin to place the Jadelle implants. |
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Creating the pneumoperitoneum with a Palmer needle and then fitting a 10 mm trocar is the most classic abdominal approach route. |
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The fixed nature of the trocar prevents the surgeon from reproducing the complex movements of the hand. |
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At this point, the angle of the trocar can be changed to try to find a translucent zone indicating a free peritoneal space. |
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The mark closest to the tip indicates how much of the trocar should remain under the skin following placement of the first implant. |
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At this value, the tension of the wall opposes the depression of the trocar when the surgeon introduces it. |
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Prevention of gas leak must be kept in mind at all times and exsufflation through the trocar valve before removing the trocars are essential. |
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Do not completely remove the trocar until both implants have been placed. |
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Insert the tip of the trocar beneath the skin at a shallow angle. |
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The anterior abdominal wall must be adequately elevated by hand, and the trocar is inserted directly into the cavity, aiming towards the pelvic hollow. |
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The push-through entry design requires significant perpendicular force to drive a trajectory across tissue planes with no means of avoiding trocar overshoot. |
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Only after the trocar is introducted realizing a rotatory movements of the hand with a controlled pression rather than appling an uncontrolled effort on the straigth direction. |
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AirSeal comprises of a valve-free trocar with continuous pressure sensing and an incorporated insufflator and smoke evacuator. |
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This procedure is carried out by a physician trained in the technique using a trocar loading device and performed with or without a local anesthetic in the outpatient clinic setting. |
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The trocar shaft slides through an outer sleeve, or cannula. |
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Leave the trocar or knife in the flank until the gas has escaped. |
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When the pneumoperitoneum is created, many surgeons debate as to the amount of gas that needs to be insufflated before inserting the first trocar. |
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There were two intraoperative complications, a proctotomy that was unrelated to trocar insertion and a pelvic hematoma. |
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Once this trocar has been installed, the surgeon checks the integrity of the cavity and the abdominal viscera as well as the size and mobility of the uterus. |
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It should be large enough to take this type of trocar, usually 12 mm. |
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Most insufflators are not capable of automatic reduction in intra peritoneal pressure, which must be accomplished by manual exsufflation via a trocar. |
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Alternatively, use the trocar to puncture the skin. |
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Sometimes, the anterior abdominal wall may be grasped with the nondominant hand of the surgeon and lifted to offer counter pressure against the advancing trocar. |
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When the trocar has been inserted to the mark closest to the hub, remove the obturator and load the first implant into the trocar, using thumb and forefinger. |
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Once the trocar has been adjusted, the loop is tightened, or if a disposable trocar is used, the threads of the loop are trapped in the slots provides for this purpose. |
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The USSC trocar line at issue is the VERSAPORT PLUS trocars. |
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In a fashion similar to that used for vertebroplasty, polymethyl methacrylate was mixed with sterile barium and injected through the in-dwelling trocar needles. |
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A possible explanation is that these larger core sizes were due to removing the trocar too soon, thereby sampling a greater proportion of healthy pedicular bone. |
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