Document Detail


Use of a hand-held Doppler to avoid abdominal wall vessels in laparoscopic surgery.
MedLine Citation:
PMID:  7661918     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Laparoscopy in general surgery is becoming a wide-spread technique. Substantial anterior abdominal wall haemorrhage is a recognised complication of the laparoscopic technique. Ten patients were examined with an 8 MHz hand-held Doppler and the anterior abdominal wall vessels were marked on the skin. Colour flow duplex was used to confirm the presence of vessels found in this way. All 40 epigastric arteries were marked accurately and confirmed; 75 other intramural arteries were identified, although the majority were too small for duplex confirmation. The preoperative use of hand-held Doppler is a quick and non-invasive way to identify the epigastric and larger intramural arteries. Routine use of this technique to mark abdominal wall vessels in the areas of trocar insertion should reduce this complication of laparoscopic surgery.
Authors:
M S Whiteley; S A Laws; M H Wise
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  76     ISSN:  0035-8843     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  1994 Sep 
Date Detail:
Created Date:  1994-12-08     Completed Date:  1994-12-08     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  348-50     Citation Subset:  IM    
Affiliation:
Department of Surgery, St Mary's Hospital, Portsmouth.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Muscles / blood supply*
Adult
Arteries / anatomy & histology,  ultrasonography
Female
Hemorrhage / etiology,  prevention & control*
Humans
Laparoscopy / adverse effects*
Middle Aged
Preoperative Care / methods*
Ultrasonography / methods
Comments/Corrections
Comment In:
Ann R Coll Surg Engl. 1995 Mar;77(2):154   [PMID:  7793814 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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