Laparoscopy on patients with previous lower abdominal surgery: A new technique

Abstract
During the period June 1979-May 1981, 1582 diagnostic and operative laparoscopic procedures were performed at Al-Azhar University Endoscopy Unit [Cairo, Egypt] and during field visits to several hospitals in Egypt, Sudan and Mauritania. Ninety-nine of these had previous lower abdominal surgery. Laparoscopy was performed on 93 of these patients using a modified laparoscopy technique. The modified technique involves direct visualization of the previous peritoneal scar before its careful puncturing with the trocar and cannula. The technique, findings, complications, limitations of the procedure and its application are described.

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