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- W141151592 abstract "Laparoscopic sterilizations can be safely performed using room air insufflation. In a series of 400 procedures, the rates of surgical complications were comparable to other laparoscopy studies in which high-pressure gas was used. The purported problems associated with room air insufflation were not encountered in this study.This paper reexamines the use of room air as the insufflating medium for voluntary sterilizations. 400 sterilization procedures were performed at the Centro Medico in El Salvador. The 1st 100 sterilizations utilized a standard laparoscopy technique that familiarized the operating physician with the laprocator. The next 300 sterilizations utilized Hasson's open laparoscopy technique using the Hasson trocar and blunt cannula. In all the procedures, pneumoperitoneum by room air was used for insufflation. Air insufflation was achieved using the KLI insufflator which can deliver either gas under pressure or air with a pneumatic bulb. No surgical recovery period or follow up complications were observed in the standard laparoscopy series. Of the 300 open laparoscopy procedures, 1 case (0.3%) of mesosalpingial injury without bleeding was recorded as a surgical complication. Follow-up complications were 2 cases (0.7%) of urinary tract infections and 2 cases (0.7%) of incision inflammation that required medical treatment with only aspirin or penicillin. Reported sites of pain during standard laparoscopic procedures were pelvic (5%) and shoulders (2%). Benefits of use of room-air insufflation are universal availability, low cost, simplification of procedure, reduction of cost of backup equipment and reduction of performance time. The reported disadvantages of room air insufflation--pain, air embolism, infection or death--did not occur in this series." @default.
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- W141151592 date "1980-03-01" @default.
- W141151592 modified "2023-10-05" @default.
- W141151592 title "Laparoscopic Sterilization with Room Air Insufflation: Preliminary Report" @default.
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- W141151592 doi "https://doi.org/10.1002/j.1879-3479.1980.tb00260.x" @default.
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