Abdominal Access in Open and Laparoscopie Surgery

Martin S. Litwin, MD
JAMA. 1997;277(3):266. doi:10.1001/jama.1997.03540270092038.
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Once in a great while a unique book comes along. This is such a book. In a brief 194 pages the contributors discuss an aspect of surgery from a perspective that has not been previously considered.

In the preface the editors correctly point out that "... minimally invasive surgery has blended basic concepts... with improved technology" and that "We are currently functioning with the first generation of equipment not specially designed for minimally invasive surgery." In their book they present both old and new methods for gaining abdominal access. This includes classic surgical incisions, endoscopy, and various types of intraperitoneal approaches using minimally invasive surgery. Additionally, even newer methods that include the subcutaneous lift system and planar lifting are discussed. Surgeons who have not had experience with these latter two methods will find the descriptions fascinating, informative, and complete.

The two chapters on complications of CO2 pneumoperitoneum are particularly interesting.


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