Read e-book online Advanced Laparoscopy PDF

By A. Smamsa

ISBN-10: 9533076747

ISBN-13: 9789533076744

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482–87, ISSN 0003-2999 Buttenschoen, K; Tsokos, M. & Schulz, F. (2007). Laparoscopic Cholecystectomy Associated Lethal Hemorrhage. JSLS. 11, No. 101–105, ISSN 10868089 Carter, J. & Duh, QY. (2011). Laparoscopic Repair of Inguinal Hernias. World J Surg. Mar 12 (2011) [Epub ahead of print] Catani, M; Guerricchio, R; De Milito, R; Capitano, S; Chiaretti, M; Guerricchio, A; Manili, G. & Simi, M. (2004). Low pressure laparoscopic cholecystectomy in high risk patients - (ASA III and IV): our experience.

For this reason, more careful observation is recommended in smaller children during and immediately following laparoscopic procedures. Pacilli et al (2006) demonstrated that in children after 10 -12mins of laparoscopy, 10-20% of expired carbondioxide derived from absorption of exogenous carbon dioxide and continues to be eliminated for up to 30minutes after the end of insufflation. Minute ventilation needs to be Laparoscopy in Children and Infants 33 adjusted in order to avoid hypercarbia.. McHoney et al (2003) observed the elimination of carbon dioxide in children to be age-dependent.

However, the paediatric surgical subspecialty has lagged behind adult surgery in exploring the advances offered by laparoscopy. This is largely because some common conditions in adults like cholelithiasis which opened the gateway to the explosion in the application of laparoscopic surgery are uncommon in the paediatric age group. In addition, the low volume of corresponding conditions in the paediatric population has made it unattractive to companies involved in manufacturing and developing the paediatric laparoscopic equipment.

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Advanced Laparoscopy by A. Smamsa

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