COMBINED TROCAR AND DIRECTOR.

Trocar site hernia.

OBJECTIVE To review the relationship between the pathogenesis and clinical manifestations of trocar site hernias seeking to confirm the definition of trocar site hernias by classification. DATA SOURCES We searched this subject in English on MEDLINE by combining the words "trocar," "port," "hernia, and "laparoscopy."Data Extraction and STUDY SELECTION We limited the main operations to cholec...

Deputy Director

Patient Positioning, Instrumentation, and Trocar Placement

H.M. Ross et al. (eds.), Minimally Invasive Approaches to Colon and Rectal Disease: Technique and Best Practices, DOI 10.1007/978-1-4939-1581-1_2, © Springer Science+Business Media New York 2015 Key Points • Position patients in a manner to pad all pressure points and maximize gravity’s effects, while avoiding nerve damage and undue traction. • Appropriate abdominal access should be based on pa...

Two Trocar Laparoscopic Varicocelectomy: Approach and Outcomes

BACKGROUND AND OBJECTIVES The surgical indications and proper management of varicoceles in the pediatric population continue to be controversial. Historically, open surgical approaches have had recurrence rates between 2% to 6% and a low rate of complications. We present a modified laparoscopic technique for the treatment of clinically significant varicoceles. METHODS Consecutive pediatric pa...

High-Pressure Trocar Insertion Technique

BACKGROUND The majority of laparoscopic complications occur at the time of Veress needle and trocar insertion. Although not very frequent, they increase the morbidity and mortality of both diagnostic and operative laparoscopic procedures. Alternative techniques of trocar insertion have been described but have not completely eliminated the risk of injury. TECHNIQUE After Veress needle insertio...