Module 8

Question 1

What can you do to catch venous ooze?

Answer 1

reduce pneumo slighlty

Question 2

Most common cause of unrecognized bleeding

Answer 2

Trocar injury of abdominal wall vessels
Injury to vessels/organs away from the operative field
Tamponade of venous bleeding

Question 3

How do you place drains in lap?

Answer 3

May pull through 5mm port with grasper
May push through 10-12mm port
Clamp drain tubing to prevent loss of peritoneum

Question 4

How long does it take to get pneumo out?

Answer 4

1 hour too get 200ccs out, 3hrs to completely evacuate

Question 5

when do you close fascia at port sites?

Answer 5

if >5mm

overall incidence is <5%

RFs: similar to incisional hernias after open surgeries

Question 6

How do you close fascia at port sites?

Answer 6

• Open techniques
• Laparoscopic assisted techniques: Carter-thompson or Keith needle
• Laparoscopic techniques: Suture fascia closure intrabdominally
• Visualization of fascia is poor, so hard to ensure fascia closure