Re: [2]: Verres vs trocar

From: Marco A. Pelosi, III, MD (marcop@tao.agoron.com)
Tue Aug 26 11:07:48 1997


At Tue, 26 Aug 1997, COL Milo Hibbert wrote:

>It is self-evident that the closed techniques carry not only the
>risk of damage to adherent viscera, but also the risks associated with
>misapplied, blind downward thrust irrespective of their frequency. I
>challenge anyone to refute this statement and I see no purpose in a RCT
>which seeks to validate the obvious at the cost of an avoidable injury.
>
>--
>M.A. Pelosi, III, MD
>
> It seems to me that the risk to non-attached viscera is not zero with
> the open technique

What is the basis for this assertion?

, and opening the abdomen through a very small > incision is not perhaps identical to larger laparotomy, and may carry
> different risks.

What differing risks do you foresee?

A comparative study might be useful. Milo L. > Hibbert

"Fanaticism consists in redoubling your efforts when you have forgotten your aim."(source unknown)

What benefit do you ascribe to closed entry and blind downward thrust with a pointed instrument that would warrant a comparison with open laparoscopy?

--
M.A. Pelosi, III, MD




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