endoscopic MIS

Question 1

Dimitri Ott

Answer 1

• invented endoscopy

- German gynecologist

Question 2

absolute contraindication for MIS

Answer 2

• advanced generalized peritonitis
• irreducible hernia
• intolerance to formal laparotomy
• massive abdominal distention w/ bowel obstruction
• coagulopathy

Question 3

relative contraindication for MIS

Answer 3

• previous generalized peritonitis
• obesity
• advanced cardiac dx, AAA
• umbilical abnormalities
• pregnancy
• prior abdominal/pelvic sx (scar tissues affect trocar insertion)
• MD’s lack of experience

Question 4

what is the normal intra-abdominal adult pressure setting in CO2 insufflator

Answer 4

15mmhg

Question 5

small blunt tip lap tools

Answer 5

dissection

Question 6

large blunt tip lap tools (teeth, ratchet)

Answer 6

grasping