Step 2. Trocar placement E. Liatsikos

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Step 2. Trocar placement

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Information

                                    Title: 
                                    Step 2. Trocar placement
                                
                                    Author: 
                                    
                                            Evangelos Liatsikos                                        
                                    
                                    Date:
                                    19-08-2016

Description

A Gelpoint (Applied Medical Resources Corporation, California, USA) multi-instrument port is inserted through an umbilical incision.
The peritoneal cavity is then carefully inspected, with a 30° lens extra long camera (Hopkins endoscopic camera, Karl Storz, Tuttlingen, Germany).
For vaginal access, a finger or an obturator is inserted to apply tension on the posterior vagina fornix. Sharp and blunt dissection is performed transvaginally and an appropriate access at the posterior fornix is established for the insertion of the flexible cannulas. The insertion of the vaginal trocars is performed under direct vision. Extra care should be taken at this step to avoid rectal injury during insertion of the vaginal multi-port.

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