bandage-green

Diagnostic Laparoscopy and Lysis of Adhesions

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Blocks : TAP, Rectus Sheath
Considerations : Aspiration risk / Full stomach, PONV

Anesthetic Approaches

1GETT
2GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Entry - open (Hasson) cutdown or optical trocar, often at Palmer's point away from old scars in the previously operated abdomen; Veress needle where the wall is unscarred. Insufflation - CO2...

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