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Ensuring safe laparoscopic access.(THE MASTER CLASS)
Safe laparoscopic access begins before an incision is ever made.
It begins when you review the patient's history, which includes any pertinent previous surgeries. It extends to the examination, which should rule out pelvic or abdominal masses, hepatomegaly, or an enlarged spleen. If questions about the patient's anatomy arise, imaging may be helpful. I recently had an in vitro fertilization patient with ovarian torsion for whom ultrasound was needed to locate the limits of the ovaries, which reached the umbilicus.
During surgical preparation in the operating room, the patient's bladder should be drained with a Foley catheter to ensure that it is ...
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Source: HighBeam Research, Ensuring safe laparoscopic access.(THE MASTER CLASS)