Laparoscopic Surgery In The High Risk Patient

Assaad El-Hakim and Benjamin R. Lee

Department of Urology, Long Island Jewish Medical Center, New Hyde Park, New York, U.S.A.

■ PREVIOUS ABDOMINAL SURGERY

Cryoprecipitate

Open Access Technique

CARDIOPULMONARY DISORDERS

Alternative Sites for Introducing the

ASCITES

Veress Needle

OBESITY

Optical Trocars

ADVANCED AGE

■ COAGULATION DISORDERS

SUMMARY

Platelets

REFERENCES

Fresh Frozen Plasma

In the setting of previous surgery, an extraperitoneal/retroperitoneal approach can be undertaken.

Alternatively, pneumoperitoneum can be created with a Veress needle that is inserted at least 3 cm away from previous abdominal incisions.

A previous abdominal surgery is not an absolute contraindication for laparoscopic procedures.

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