Since learning of the video-assisted thoracoscopic techniques in the treatment of thoracic diseases, we have encountered many problems and difficulties because of the limited trocar space and lack of suitable instrumentations. Since March 1992, we have found a simple and easier way to perform this procedure, that is, manipulating through the extended incisional wound without using a trocar. End...

INTRODUCTION LAPAROSCOPY AND OPERATIVE LAPAROSCOPY are the second most commonly performed gynecologic procedures after dilatation and curettage. During these procedures, injuries to the blood vessels in the abdominal wall have resulted from direct trauma caused by either the pneumoperitoneum needle or the trocars. (1) An injury can occur despite direct visualization, elevation of the abdominal ...

We introduce a simple method of fixing trocars to the abdominal wall in children. Before anchoring the trocar, a piece of TegadermTM polyurethrane adhesive (3M Healthcare, St. Paul, Minnesota) is attached to the trocar. A silk stitch is anchored to neighboring skin, and then transfixed over the shaft of the trocar through the adhesive. Both inward and outward movement of the trocar can be restr...

background trocar site, incisional hernia is one of the serious complications of laparoscopic surgery. as a result, many surgeons prefer to close the fascia, especially in those sites where a trocar of 10 mm in size or larger has been inserted. on the other hand, suturing the fascia may lead to damage of other tissues, such as the intestines; hence, some surgeons prefer not to close the fascia....