Showing posts with label Abdo-Lift. Show all posts
Showing posts with label Abdo-Lift. Show all posts
Wednesday, February 26, 2014
Abdominal Wall Lift ~ Beware the Abdolift
IHRT blast from the past.....
Beware of the Abdo-lift....
Abdominal wall lift decreases cardiopulmonary changes, does not influence the morbidity and, increases operating time in laparoscopic cholecystectomy. It cannot be recommended routinely
.Gurusamy KS, Samraj K, Davidson BR.Published Online: July 16, 2008.Several physiological parameters related to heart and lung (cardiopulmonary changes) occur during insufflation of abdomen (tummy) with key-hole surgery. While these changes can be tolerated by normal individuals, patients with poor heart or lung function may not tolerate the changes. These changes in physiological parameters related to heart and lung are decreased by using special instruments to lift the front wall of the abdomen so that key-hole surgery can be performed without gas insufflation. In this systematic review of 20 trials including 706 patients (six trials including 156 patients used gas at very low pressures), it is shown that the technique of lifting the front wall of the tummy is associated with increased operating time (8 minutes) without reducing surgical complications. It cannot be recommended as a routine in patients with mild or no systemic disease. So, it cannot be recommended routinely in patients with low anaesthetic risk.
http://summaries.cochrane.org/CD006574/abdominal-wall-lift-decreases-cardiopulmonary-changes-does-not-influence-the-morbidity-and-increases-operating-time-in-laparoscopic-cholecystectomy.-it-cannot-be-recommended-routinely
.Gurusamy KS, Samraj K, Davidson BR.Published Online: July 16, 2008.Several physiological parameters related to heart and lung (cardiopulmonary changes) occur during insufflation of abdomen (tummy) with key-hole surgery. While these changes can be tolerated by normal individuals, patients with poor heart or lung function may not tolerate the changes. These changes in physiological parameters related to heart and lung are decreased by using special instruments to lift the front wall of the abdomen so that key-hole surgery can be performed without gas insufflation. In this systematic review of 20 trials including 706 patients (six trials including 156 patients used gas at very low pressures), it is shown that the technique of lifting the front wall of the tummy is associated with increased operating time (8 minutes) without reducing surgical complications. It cannot be recommended as a routine in patients with mild or no systemic disease. So, it cannot be recommended routinely in patients with low anaesthetic risk.
http://summaries.cochrane.org/CD006574/abdominal-wall-lift-decreases-cardiopulmonary-changes-does-not-influence-the-morbidity-and-increases-operating-time-in-laparoscopic-cholecystectomy.-it-cannot-be-recommended-routinely
Where are Kruschinski's studies? Oh right there aren't any real ones, just vividly imagined ones.
Thursday, February 09, 2012
Karl Storz Abdo-Lift Malpractice ~ Endogyn Kruschinski Steward Scammers!
IHRT told Kruschinski bout this long ago and of course he raved it was a DIFFERENT abdominal Wall Lift. Well as we revisit the story, it is a karl storz abdo-lift! Another Kruschinski shout down of the truth!
Karl Storz Abdo-Lift Malpractice ~ Endogyn Kruschinski Steward Scammers!
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Left behind part of instrument during elective laparoscopic bariatric procedure
http://www.iscrs.org/cd/Avrutis%20O.%200029.htm
O. Avrutis, O. Sibirsky, J. Meshoulam, V. Michalevsky, A. Durst
Bikur Cholim Hospital, Jerusalem
Background: The incidence of the retention of a foreign body in abdominal operations varied from 1 in 1000 to 1 in 1500 procedures. Reasons for retained instruments after surgical interventions remain unclear. One well designed and controlled study claimed forgetting instruments and sponges were more common in emergency operations, unplanned changes in the course of the procedures and high BMI. There are few if any reports regarding these errors in laparoscopic surgery.
Case report: A 27 year-old woman was referred to our department with intolerance to Gore-Tex nonadjustable gastric band implanted laparoscopically for morbid obesity (BMI 43) nine months ago. Laparoscopic debanding was performed successfully. On the next day, swallow study detected a large metal foreign body in the right subphrenic area. It was looking as a part of Abdo-Lift (Karl Storz), a tool obviously using during laparoscopic gastric banding performing in the other hospital. CT scan depicted the foreign body laying free in the abdominal cavity. This 15cm long part of broken appliance was removed laparoscopically. Presented Video shows the details of this unique case.
Conclusion: Laparoscopic instruments might be left behind during procedures in spite of small incisions using in laparoscopy. It is necessary to count and check instruments in laparoscopic procedures as in open surgery.
Karl Storz Abdo-Lift Malpractice ~ Endogyn Kruschinski Steward Scammers!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Left behind part of instrument during elective laparoscopic bariatric procedure
http://www.iscrs.org/cd/Avrutis%20O.%200029.htm
O. Avrutis, O. Sibirsky, J. Meshoulam, V. Michalevsky, A. Durst
Bikur Cholim Hospital, Jerusalem
Background: The incidence of the retention of a foreign body in abdominal operations varied from 1 in 1000 to 1 in 1500 procedures. Reasons for retained instruments after surgical interventions remain unclear. One well designed and controlled study claimed forgetting instruments and sponges were more common in emergency operations, unplanned changes in the course of the procedures and high BMI. There are few if any reports regarding these errors in laparoscopic surgery.
Case report: A 27 year-old woman was referred to our department with intolerance to Gore-Tex nonadjustable gastric band implanted laparoscopically for morbid obesity (BMI 43) nine months ago. Laparoscopic debanding was performed successfully. On the next day, swallow study detected a large metal foreign body in the right subphrenic area. It was looking as a part of Abdo-Lift (Karl Storz), a tool obviously using during laparoscopic gastric banding performing in the other hospital. CT scan depicted the foreign body laying free in the abdominal cavity. This 15cm long part of broken appliance was removed laparoscopically. Presented Video shows the details of this unique case.
Conclusion: Laparoscopic instruments might be left behind during procedures in spite of small incisions using in laparoscopy. It is necessary to count and check instruments in laparoscopic procedures as in open surgery.
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