Urological health videos from http://www.healththeater.com/

Dept of Urology
The Web

Search Weill Medical College
Advanced Search
Department of Urology
Cornell Physicians
Mission
History
Clinical Conditions
Minimal Access Surgery
First & Foremost
General Information
Laparoscopic Procedures
Cornell Physicians
What's New
Related Video
Cornell Physicians
Weill Cornell Research
Residency Program
Educational Programs
Sexual Medicine Program
Robotic Prostatectomy
Clinical Trials
Cornell Guidelines
Urology Forum

Glossary
Resources
Contact Us
Home
Minimally Invasive Surgery / Laparoscopic Procedures


Hand Assisted Laparoscopy

  • Indications - In an effort to simplify, improve safety, increase availability and decrease the learning curve of laparoscopy investigators have developed the DexterityÓ Pneumo Sleeve. This device allows the surgeon to place one hand in the abdomen while maintaining the pneumoperitoneum required to perform laparoscopy. Tactile sensation can be achieved as well as improved spatial orientation. In addition this device has the potential to decrease operating time. Hand assisted laparoscopy may be applied to any laparoscopic procedure in which a specimen measuring greater than 5cm. needs to be removed. The theory is that laparoscopic procedures requiring removal of a large specimen demand the creation of an incision to remove the specimen. Hand assisted laparoscopy allows the surgeon to make this incision at the beginning of the procedure and use it to the their benefit rather than at the end.

  • Procedure - The set up, anesthesia and equipment are the same in a hand assisted laparoscopic case and a pure laparoscopic case. The difference involves the use of the pneumosleeve and the creation of a small incision just large enough to place the surgeon's hand. This addition allows the surgeon the best of both worlds. Laparoscopic magnification and instrumentation may be used in combination with a hand in the operating field. Note the incision created at the beginning of the procedure is no larger then the incision required at the end to remove the specimen. (pictures )

  • Results - Operative time is similar if not shorter in the hand assisted laparoscopic procedures compared with total laparoscopic procedures. Estimated blood loss, analgesic requirement, length of hospital and return to normal activity is similar in both groups.



Back to Top

Website Disclaimer

© 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010 Content by Cornell University. All rights reserved.

© 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010 Design and architecture, Healthcommunities.com. All rights reserved.

Healthcommunities.com - Physician Developed and Monitored