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GASTROENTEROLOGY
International Conference on
J u n e 2 5 - 2 6 , 2 0 1 8 | D u b l i n , I r e l a n d
Journal of Gastronenterology and Digestive Diseases
|
Volume 3
Page 24
Note:
H
and assisted laparoscopic surgery is an updated highly advanced version of
laparoscopic technique. Such techniquebridges thegapbetween traditional
surgery and total laparoscopic surgery. Introduction of the hand intracorporeally
enhanced the degree of freedom, hence, a remarkable degree of precision and
safety in task performance. Clinical and experimental studies confirmed safe
use of the handwith insufflation pressure enhancing dexterity as well as a steep
learning curve. Therefore, the author made an overview analysis to the factors
related to safety; efficiency; dexterity; instrumentation and cost-effectiveness
for the use of hand assisted laparoscopic surgery; with an emphasis on live
donor nephrectomy. Prospective studies made by Kolvenbach on the use of
hand assisted laparoscopic surgery in aortic aneurysm repair proved high
degree of safety and efficiency as well as cost effectiveness. Several studies
highlighted a multitude of factors significantly contributing into a high degree
of precision and task performance; which reflected on uneventful enhanced
recovery programme. The introduction of either hand intracorporeally enhanced
the limited degree of freedom for the current laparoscopic tools. There are
various hand port devices of which the pros and cons for each port will be
discussed in detail. The author’s experimental studies confirmed that optimum
safe insufflation pressure would be 10 mm Hg with no leak from the hand port
and optimum dexterity and task performance. Hand assisted laparoscopic
surgery is a safe and efficient technique. It significantly enhances concept of
enhanced recovery programme. Raising public awareness can provide a high
impact in enhancing live donor nephrectomy; hence reducing the inexorable
renal transplant waiting list for patients with end stage renal disease. Such
patients are at progressive rise of mortality risk with prolonged waiting list.
Biography
Elenin Haussam has completed his MD in Min-
imal Access Surgery with a special interest in
Hand Assisted Laparoscopic Surgery. He has
been Regional Surgical Adviser and Surgical Tu-
tor for the Royal College of Surgeons for North
Ireland and has a wide case mix of Surgical ex-
perience of more than 25 years. He has over 15
publications. The author is currently a Consultant
Laparoscopic and General Surgeon at The Private
Hospital Groups of Dr. Suleiman Al Habib Hospi-
tals in Riyadh/Saudi Arabia.
haussam@doctors.org.ukHAND ASSISTED LAPAROSCOPIC
SURGERY: AN UPDATED-OVERVIEW
Elenin Haussam
Queen’s University Teaching Hospitals
Northern Ireland
Elenin Haussam, J Gastroenterol Dig Dis 2018, Volume 3