Cannula Positioning

Positioning and number of cannulae placed (Figure 10.2.2, for the ileostomy formation) largely depend on the extent of intraabdominal manipulations expected. Most patients with "virgin" abdomens, not requiring extensive adhesiolysis, can be performed using a more limited number of cannulae, whereas a thorough inspection of the entire small

Laparoscopic Ileostomy
Figure 10.2.2. Positions of the cannulae for the laparoscopic ileostomy formation. Use of optional cannulae (*) should be used with a low threshold if this makes the procedure easier, especially when adhesions are present.

intestines may require at least four cannulae. Although it is tempting to minimize the number of cannulae, there should be no hesitation in inserting one or two additional 5-mm cannulae, if this will allow better exposure and easier manipulations of the tissues.

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Baby Sleeping

Baby Sleeping

Everything You Need To Know About Baby Sleeping. Your baby is going to be sleeping a lot. During the first few months, your baby will sleep for most of theday. You may not get any real interaction, or reactions other than sleep and crying.

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