Cannula Positioning

A 5- or 10-mm cannula is initially inserted using the open technique just below the umbilicus. Additional 5-mm cannulae are inserted just lateral to the rectus abdominis muscles in the left upper and right upper quadrants. A 12-mm cannula is placed in the right lower quadrant just lateral to the rectus abdominis muscles over McBurney's line for the endoscopic stapler to be used for bowel resection. A 5- or 10-mm cannula is placed in the left lower quadrant depending on instrumentation. The left lower cannula or umbilical site can be used for specimen extraction by enlarging it to 3-4 cm (Figure 10.4.2).

Table 10.4.1. Specific instruments recommended for laparoscopic rectopexy with resection

1 Dissecting device (i.e., Ligasure VTM or Ultrasonic Shears™ or electrosurgery)

1 Laparoscopic scissors

1 Laparoscopic dissector

2 Laparoscopic graspers

1 Laparoscopic needle holder

1 Laparoscopic knot pusher

1 Endoscopic paddle

1 Endoscopic stapler

Laparoscopic Knot Pusher
\ /

Figure 10.4.2. Positions of the cannulae for laparoscopic rectopexy.

Was this article helpful?

0 0
How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

Get My Free Ebook


Post a comment