Each patient was assessed for risk factors, age, gender, previous history of hospitalization, BMI, presence of supraumbilical/ infraumbilical
scar, palpable gall bladder, gall bladder wall thickness, pericholecystic collection and impacted stone and preoperative scoring method to predict the difficulty/ ease of level for performing laparoscopic cholecystectomy.
On examination, a midline infraumbilical
abdominal scar was noted.
The exploration was performed through the abdominal defect that was approximately 10 cm in diameter located in the infraumbilical
region extending to the left abdominal quadrant.
In a review of laparoscopic practice, approximately half of the laparoscopists preferred the infraumbilical
route and 35.7% the supraumbilical area for entry (5).
Part of the previous infraumbilical
scar was incised for the extraction of the mass through a wound protector (Figure-2).
Caudal epidural block is one of the most popular, reliable, safe and effective tecnique that can be used alone or in combination with general anesthesia for both intra and postoperative analgesia in pediatric patients undergoing various infraumbilical
Durante el procedimiento clasico por LT, se realiza una incision en la linea media supra e infraumbilical
, se pinza, secciona y liga el ligamento ancho y el infundibulo pelvico lo mas cerca de la pared pelvica, para tener buena exposicion del retroperitoneo.
Intraoperative bladder injuries were observed in 2 patients with PP (9.09%), and supra- and infraumbilical
median incisions were performed in 19 women (86.4%) in this group.
A prospective randomized, double blind study was conducted on 90 patients of ASA grade I and II of either sex aged 1 to 10 years, undergoing infraumbilical
surgery as circumcision, herniotomies, orchidopexies, etc.
En estos casos especiales se debe considerar la paracentesis con abordaje en la linea media infraumbilical
First, the patient was positioned supine, and an infraumbilical
laparotomy was performed; the left paracolic gutter was dissected to address the retroperitoneum.
On physical examination a visible, nontender, and nonmobile infraumbilical
mass was noted.