The Hasson technique in laparoscopic surgery is and open method of port (trocar) insertion followed by rapid pneumoperitoneum rather than blind insertion of the Veress needle and first trocar. The Hasson technique is a percutaneous endoscopic approach which includes entry by minor incision of instrumentation per the ICD-10-PCS definition.
What is the genicon Hasson port system?
The GENICON Single-Use Hasson Port System’s compelling features are designed for laparoscopic surgeons who prefer an “open technique” for the initial site of trocar insertion. The 13mm-5mm trocar system consists of a Blunt Tip Obturatorand a suture anchoring device to secure the cannula into place.
What is a Hasson/blunt port?
e-IFU Hasson / Blunt Port System Comfort, Control and an Easy Mode of Entry The GENICON Single-Use Hasson Port System’s compelling features are designed for laparoscopic surgeons who prefer an “open technique” for the initial site of trocar insertion.
How do you install a Hasson port?
The Hasson port with its blunt, rounded-tip obturator is introduced into the abdomen (figure 5). The spiral collar is screwed into the fascia so as to provide a snug gas seal, and the lateral stay sutures are secured to the notches on the collar. The obturator is removed. The CO 2 line is attached and the stopcock opened.
Where is the Hasson port on a gallbladder?
The Hasson port with its blunt, rounded-tip obturator is introduced into the abdomen ( figure 5 ). The spiral collar is screwed into the fascia so as to provide a snug gas seal, and the lateral stay sutures are secured to the notches on the collar.
What is a Hasson?
A technique used in laparoscopic surgery in which the skin, muscle, fascia, and peritoneum are incised under direct vision to allow the insertion of a blunt trocar, through which the laparoscope is introduced.
What is Hasson entry?
Abstract. The open technique was first described by Hasson in 1970. This technique consists of creating a small umbilical incision under direct visualization to enter the abdominal cavity followed by the introduction of a blunt trocar. Pneumoperitoneum is then rapidly created.
What is a Hasson cannula?
(has'ŏn), a laparoscopic instrument for open (rather than blind needle insufflation) placement of the initial port. The Hasson has a blunt-tipped obturator instead of a sharp trocar and a balloon on the distal portion of the sheath to hold it in place.
What is a Hasson trocar used for?
Has·son tro·car. a blunt trocar inserted into the peritoneal cavity after making a small celiotomy; used for insufflation and introduction of a laparoscope.
Why is a lap chole performed?
Laparoscopic cholecystectomy is minimally invasive surgery to remove the gallbladder. It helps people when gallstones cause inflammation, pain or infection. The surgery involves a few small incisions, and most people go home the same day and soon return to normal activities.
What is open laparoscopic surgery?
Open laparoscopy is a technique which allows placement of a laparoscopic camera port, in a controlled manner, by sharply opening the layers of the abdominal wall.
How do you place trocars?
Using a reusable trocar Here an incision is made in the umbilicus and the skin below the umbilicus is lifted up. When the skin is lifted up the umbilical incision will become more vertical. The trocar, is pushed in perpendicular to the skin incision and into the abdomen.
What is Palmer's point?
Palmer's point is described as the area in the left upper quadrant 3 cm below the costal margin and in the midclavicular line. Raoul Palmer MD was a French gynecologist many feel developed modern laparoscopy. 1n 1974 he described Palmer's Point. This entry is utilized when midline adhesions are suspected.
How do you get pneumoperitoneum?
The pneumoperitoneum can be achieved by means of either closed or open methods. In the closed method, a 14-gauge Veress needle (disposable or reusable) is used to enter the peritoneal cavity. Before the needle is inserted, it is of critical importance to check patency and appropriate retraction of the tip.
What types of trocars are used for laparoscopy?
The following trocar types were examined: radially expanding versus cutting (six studies; 604 participants), conical blunt-tipped versus cutting (two studies; 72 participants), radially expanding versus conical blunt-tipped (one study; 28 participants) and single-bladed versus pyramidal-bladed (one study; 28 ...
What are balloon trocars used for?
Balloon fixation trocars provide enhanced atraumatic cannula fixation within the abdominal wall, preventing cannula migration even during extended procedures and vigorous instrument exchange.
How do you place trocars?
Using a reusable trocar Here an incision is made in the umbilicus and the skin below the umbilicus is lifted up. When the skin is lifted up the umbilical incision will become more vertical. The trocar, is pushed in perpendicular to the skin incision and into the abdomen.
What is Palmer's point?
Palmer's point is described as the area in the left upper quadrant 3 cm below the costal margin and in the midclavicular line. Raoul Palmer MD was a French gynecologist many feel developed modern laparoscopy. 1n 1974 he described Palmer's Point. This entry is utilized when midline adhesions are suspected.
What is intraperitoneal air?
Abstract. Pneumoperitoneum is defined as free air in the peritoneal cavity. It is most commonly caused by rupture of a hollow viscus such as gastric or duodenal ulcer perforation. Other common causes include feeding tube insertion, bowel anastomotic leak, barotrauma, and intra-abdominal surgery.
How does a Veress needle work?
A spring-loaded, inner stylet is positioned within the outer cannula. This inner stylet has a dull tip to protect any viscera from injury by the sharp, outer cannula. Direct pressure on the tip—as when penetrating through tissue—pushes the dull stylet into the shaft of the outer cannula.