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The shortest distance between the skin and the peritoneal cavity is obtained with fascial elevation: a preliminary prospective laparoscopic entry study

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dc.contributor.authorKiran, G.
dc.contributor.authorYilmaz, I
dc.contributor.authorAydin, S.
dc.contributor.authorSanlikan, F.
dc.contributor.authorOzkaya, E.
dc.contributor.institutionauthorYILMAZ, İREM
dc.contributor.institutionauthorAYDIN, SERDAR
dc.date.accessioned2022-08-20T17:10:00Z
dc.date.available2022-08-20T17:10:00Z
dc.date.issued2022-06-01T00:00:00Z
dc.description.abstractThe purpose of this study was to prospectively compare the measurement of skin-to-fascia distances in the neutral state, during manual elevation and by fascial elevation in patients who underwent laparoscopic surgery. In 53 patients, the distance between the skin and anterior wall of the rectus sheath was measured prospectively in following three different ways: (1) in neutral position, (2) during manual elevation and (3) during elevation of the fascia using forceps following an infraumbilical vertical skin incision. In all patients, subcutaneous tissue up to the fascia was dissected after a vertical skin incision. The skin-to-fascia distance of 30.9 mm (14.0-52.0 mm) in the neutral position decreased to 11.1 mm (0.0-26.0 mm) during the fascial elevation, while the mean distance increased to 40.1 mm (19-70 mm) during manual elevation (p <0.001). In the closed laparoscopic entry technique in which a Veress needle is inserted into the peritoneum through a small incision, the needle should be introduced from the shortest distance between the skin and the peritoneum. Lifting the fascia with a proper surgical instrument in suitable patients could enable us to achieve this goal.
dc.identifier.citationKiran G., Yilmaz I., Aydin S., Sanlikan F., Ozkaya E., -The shortest distance between the skin and the peritoneal cavity is obtained with fascial elevation: a preliminary prospective laparoscopic entry study-, FACTS VIEWS AND VISION IN OBGYN, cilt.14, sa.2, ss.171-175, 2022
dc.identifier.doi10.52054/fvvo.14.2.028
dc.identifier.urihttp://hdl.handle.net/20.500.12645/30881
dc.identifier.wosWOS:000827561400010
dc.titleThe shortest distance between the skin and the peritoneal cavity is obtained with fascial elevation: a preliminary prospective laparoscopic entry study
dc.typeArticle
dspace.entity.typePublication
local.avesis.id67cd9241-06e3-4c36-9432-e45fb068ea5a
local.publication.isinternational1
relation.isAuthorOfPublication07add2e1-848f-4988-844e-171b3e74b0d5
relation.isAuthorOfPublicationb373a82e-047e-4e7b-b238-29e3fc44e124
relation.isAuthorOfPublication.latestForDiscovery07add2e1-848f-4988-844e-171b3e74b0d5
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