Abdominal Key

Instruments Optional instrument Use Preferred arm (the instrument may be shifted from one arm to the other as per requirement) Monopolar curved scissors Permanent cautery hook For bowel reflection and…

Fig. 9.1 Clashing of instruments and hands. Learn to hold instruments in a different manner so to avoid clashing of hands In LESS DN, since both hands are held close…

Fig. 8.1 Indigenously made balloon with syringe for inflation Steps for left RLDN. Differences for right-sided procedure are described subsequently. Position: The patient is catheterised and placed in a standard…

Fig. 13.1 Figure shows the operative instrument trolley 13.2.2 Patient Positioning [3] (Figs. 13.2 and 13.3) 1. Lateral decubitus: operative side up.   2. Flank placed over the kidney bridge….

Fig. 6.1 Showing patient positioning Patients should have an indwelling catheter (IDC) and DVT prophylaxis measures such as pneumatic calf compression device and subcutaneous heparin. Prior to positioning, the site…

Fig. 5.1 Trolley preparation 5.3 Procedure- Step by Step At the outset, the stomach is decompressed with a Ryle’s tube, and the bladder emptied with a bladder catheter. Placing the…

Fig. 7.1 Hem-o-lok™ clips. The cardinal rules for application of these clips are as follows: (1) The knob of the clip should be seen. (2) The click of the clip…

Fig. 11.1 Different types of incisions for extraction Table 11.1 Comparison between the three commonly used incisions for extraction Pfannenstiel incision Midline incision Iliac fossa incision Non-muscle cutting Non-muscle cutting…

Laboratory tests (renal function/immunological compatibility) Blood pressure 24-h urine collection to quantify creatinine clearance and measure proteinuria Oral glucose tolerance test and HbA1C if indicated Metabolic workup if previous renal…