Laparoscopic surgeons should be able to routinely operate on patients that have had prior abdominal surgery. Careful patient assessment and preoperative planning are required address anticipated adhesions and to minimize patient risk. Techniques for both “blind” Veress needle insertion and placement of an “open” Hasson trocar should be in the armamentarium of any laparoscopic surgeon. Appropriate instrument selection, traditional surgical principles of tension/countertension, and careful dissection are required to minimize the risk of bleeding and visceral injury.
KeywordsLaparoscopy Adhesions Access Safety Reoperative surgery
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