Lift Laparoscopic Surgery BENEFITS OF THE PROCEDURE Course content is available at http://mdcurrent.in/courses/

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Advantages of LS Rapid post-operative mobilization Short hospital stay Short convalescent time Less pain Less post-operative morbidity

Disadvantages of LS Increased intra-abdominal pressure causes Compression of: - Diaphragm - Inferior vena cava - Small vessels [increasing the peripheral resistance]

Disadvantages of LS Rare complications like Pneumothorax {1.9%} Pneumomediastinum {2.1%} Pulmonary embolism Massive sub-cutaneous emphysema {2.3%} Cardiac arrest This is another option for an Overview slides using transitions.

Physiological disadvantages of LS Hypothermia Shoulder pain Metabolic acidosis Hypercarbia {5.5%} Hypoxemia

Other complications of LS Dissemination of tumour cells Contamination of insufflator Contamination of instruments

Disadvantages of LS instruments Expensive Delicate Difficult to handle This is another option for an Overview slides using transitions.

The High Costs of LS Disposables Suturing devices Special stitch materials Coagulation and cutting devices

Failure of initial attempts of Lift laparoscopy Poor vision Difficulty in handling Longer operating time

Advantages of LLS TO THE PATIENT Less pain after surgery Shoulder pain is not present Less pain medication needed Faster post-operative recovery period Add a case study or class simulation to encourage discussion and apply lessons.

Advantages of LLS TO THE PATIENT Surgery is more precise and safer Less risk of infection that arises due to inadequately cleaned instruments and long tubes No serious complications due to blind insertion of needles and trocars Add a case study or class simulation to encourage discussion and apply lessons.

Advantages of LLS TO THE PATIENT No clips or FB remaining in the body for a long time Surgery could be performed under regional anesthesia No ill effects of gas etc., on fetus Less expensive More cosmetic scars Add a case study or class simulation to encourage discussion and apply lessons.

Problems of LS to Surgeons Herniated cervical disk Un-physiological instrument handling

Advantages of LLS to surgeons Dangerous complications of blind insertions are avoided Traditional instruments could be used Better tactile sense Shorter learning curve

Advantage of LLS to the Hospitals Regional anesthesia => less expense 1 Less capital and Maintenance expenses 2 Less disposables used and hence less charges 3 This is another option for an Overview slide.

Advantage of LLS to the Hospitals Cleaning is simpler 4 Autoclaving less expensive 5 Total cost to patient & hospital much less 6 This is another option for an Overview slide.

Summary Lift-Laparoscopy has several advantages for the patients, the surgeons and to the hospitals. It has all the advantages of regular gas laparoscopy and does away with the disadvantages of the gas pneumoperitoneum. It is safer and simpler.