Abdominal-Access-Techniques
Minimal access surgery (MAS) a new surgical and
interventional approach, was called by different name and
one of the popular is minimally invasive surgery. However,
unique complications are associated with gaining access
to the abdomen for laparoscopic surgery. The technique
of first entry inside the human body with telescope and
instruments is called access technique. The hallmark of the
new approaches is the reduction in the trauma of access.
The technique for access to the peritoneal cavity, choice of
access technique, placement locations, and port placement
is very important in MAS. Technique of access is different for
different minimal access surgical procedures. Thoracoscopy,
retroperitoneoscopy, axilloscopy, and arthroscopy all have
different ways of access. In this chapter, we will discuss
various abdominal access techniques.
It is important to know that approximately 20% of
laparoscopic complications are caused at the time of initial
access. Developing access skill is one of the important
achievements for the surgeon practicing MAS. First entry or
access in laparoscopy is of two types: (1) closed access and
(2) open access.
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