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- Title
Modified Device-Free HAL: An Innovative Cost-Reductive Approach.
- Authors
Ramalingam, Manickam; Senthil, Kallappan; Pai, Mizar G.
- Abstract
Hand-assisted laparoscopy (HAL) has been in vogue since 1994. The major advantages are tactile sensation, quicker dissection, and easy removal of specimen. These advantages could not be availed in developing countries due to the cost of the available HAL devices. This has initiated the use of HAL without devices in our unit. Instead of a device, a double glove with a sponge between the inner and outer glove at the wrist acted as an obturating cuff. A muscle-splitting incision in the iliac fossa helped in minimizing the air leak. In this article, we report our experience in nephrectomy and nephroureterectomy.
- Subjects
LAPAROSCOPY; DISSECTION; SURGICAL gloves; SURGICAL instruments; ILEUM surgery
- Publication
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2009, Vol 19, Issue 6, p787
- ISSN
1092-6429
- Publication type
Article
- DOI
10.1089/lap.2009.0203