a_clinical_pearl Running the bowel during laparoscopy

[Admin]

quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -

"running the bowel from the ligament of Treitz to the cecum. This is done more ergonomically by using two working ports and two monitors as shown in Fig. 30.1. The first half of the running should be done looking to the monitor on the left at the top of the patient, and the second half the surgeon has to switch places to the left of the patient and look to the other monitor usually moving to the patient’s lower body. It is important when running the bowel to visualize both sides of the bowel and the mesentery."

[PROF. ALI RAZA BROHI]

Nice tips as how to run the bowel , i believe its a technique one develop specifically in cases required .
my input regarding this is running the bowel can be done by on one monitor even because this is required mostly in malrotation of gut and in few other cases . So the only things is learn how to move and handle the bowel during running but i have not seen difficulty starting from DJ to caecum using one monitor.
cheers .

[Ahmed Nabil]

Thanks for your response prof