OBJECTIVES Blunt-tipped trocar placement may eliminate the need for fascial closure in transperitoneal laparoscopic live donor nephrectomies (LDN). The process of 12-mm blunt-tipped trocar insertion through the abdominal wall involves fascial and muscle spreading, not incision. Coaptation of the tissue layers occurs during withdrawal of the trocar, preventing volume gaps that can be prone to he...

This paper presents a new method to calculate and display an approximated workspace of a surgical robot in nearly realtime. Displaying this information on a screen in the operation room could support the surgeon during intraoperative trocar placement for teleoperated minimally invasive robotic surgery (MIRS). We give a short overview on existing trocar placement procedures in teleoperated MIRS ...

PURPOSE Several risk factors for development of reexpansion pulmonary edema (REPE) after drainage of pneumothoraces have been reported, but the association between the method of thoracostomy and the development of REPE is unknown. The aim of this study was to compare the frequency of REPE after treatment of spontaneous pneumothorax with trocar or hemostat assisted closed thoracostomy. MATERIA...

BACKGROUND Nonbladed trocars are considered less traumatic to the abdominal wall due to the lack of fascial incision. It has been suggested that closure of the abdominal fascia may be unnecessary when such nonbladed trocars are used. CASE REPORT We report on 2 patients who were diagnosed with trocar-site hernias 2 days after laparoscopic appendectomy performed using 11-mm nonbladed trocars. ...

During laparoscopy, the main problems of patients who have undergone previous abdominoplasty are inadequate pneumoperitoneum secondary to fibrosis and reconstructed anatomic landmarks for trocar placement. In this study, we present our laparoscopic bariatric experience in two patients with previous abdominoplasty. The procedures were a laparoscopic sleeve gastrectomy and a robotic Roux-en-Y gas...

lumbar puncture is one of the most common methods for assessment of central nervous system. allen is illustrating the role of nurses in relation to probable fears about this technique. question: what is lumbar puncture? answer: this technique is proper method that one needle and trocar enter to subarachnoid space in lumbar spine. this method is most common diagnostic test for central nervous sy...

The 5 mm trocar-site hernia are very rare complication of laparoscopic surgery and surgeons usually avoid fascial closure at trocar-site. We show a case anterior rectomeshplasty with early omental herniation through surgical repair, as well an advice on whether or not to undertake the