-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Laparoscopic chicken From: Douglas Krell (dkrell@msn.com) Sat Feb 2 16:11:11 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: endometriosis?" Previous message: Garry E. Siegel, M.D.: "Re: Laparoscopic chicken" In reply to: Garry E. Siegel, M.D.: "Re: Laparoscopic chicken" Next in thread: Garry E. Siegel, M.D.: "Re: Laparoscopic chicken" Reply: Garry E. Siegel, M.D.: "Re: Laparoscopic chicken" Both Excel and Visiport are Ethicon products. The Excel trocars have spring loaded blades. The Visiport trocars have the little plastic wings at the tip, and the scope goes right inside of it so that you watch on monitor as the tip penetrates all the layers. I use the visiport all the time now. I can attest to the fact that if you have a piece of bowel adherent right under the umbilicus The visiport gives you a nice view of the bowel lumen. I agree with you Garry. It would take a major study powered to show the difference in injury rates. Perhaps you could study laparoscopies done on patients with previous midline incisions. Right now, I tend to prefer the Visiport, but if the scrub tech opens Excels by mistake, I don't throw 'em all out. I usually open a Verres needle and proceed. Surgery is dangerous business, but if it's done for a good reason and patients are well informed, we each take calculated risks that are actually quite low. -- Douglas Krell MD > Date: Sat, 2 Feb 2008 16:19:50 -0600 > From: garrys@mindspring.com > To: ob-gyn-l@mail.obgyn.net > Subject: Re: Laparoscopic chicken > > Very well said. I'm not sure that you can really know when you're about > to hit something, but inherently it seems like a visual port is a good > idea. > > Studies have been done and the rate of injury is about the same > regardless of entry type, likely because it would take a huge study to > show a significant difference. > > Garry > > >Glen > > > >I remember trying something similar called VisiPort a long time ago. I > >heard that people had saw all layers of the abdomen before they entered into the > >intestinal lumen. What is my point? No matter what you use, the initial > >entry is always a dangerous business. > > > >Allan > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA Next message: R. Daniel Braun: "Re: endometriosis?" Previous message: Garry E. Siegel, M.D.: "Re: Laparoscopic chicken" In reply to: Garry E. Siegel, M.D.: "Re: Laparoscopic chicken" Next in thread: Garry E. Siegel, M.D.: "Re: Laparoscopic chicken" Reply: Garry E. Siegel, M.D.: "Re: Laparoscopic chicken"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Tue Sep 2 05:12:35 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.