Laparoscopic Entry Traditional Methods, New Insights and Novel Appro
Laparoscopic Entry: Traditional Methods, New Insights And Novel Approaches discusses traditional methods of laparoscopic surgery, new devices, laparoscopic entry in difficult patients, robotic assisted surgery access, single port entry, gasless access, tr
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Andrea Tinelli Editor
Laparoscopic Entry Traditional Methods, New Insights and Novel Approaches
Editor Andrea Tinelli, M.D. Department of Obstetrics and Gynecology Division of Experimental Endoscopic Surgery, Imaging Technology and Minimally Invasive Therapy Vito Fazzi Hospital Lecce, Italy
ISBN 978-0-85729-979-6 e-ISBN 978-0-85729-980-2 DOI 10.1007/978-0-85729-980-2 Springer London Dordrecht Heidelberg New York British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Control Number: 2011939576 © Springer-Verlag London Limited 2012 Whilst we have made considerable efforts to contact all holders of copyright material contained in this book, we may have failed to locate some of them. Should holders wish to contact the Publisher, we will be happy to come to some arrangement with them. Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licenses issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. The use of registered names, trademarks, etc., in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
This work is dedicated to my wife, Ughetta, who is my life, for her continuous support, for always believing in me and loving me. And in love and gratitude to my parents, Francesco and Vivi, who have always been there through my growth and without whom I’d be nothing. They are simply the best parents of all time and I am blessed to be their son. Every journey begins with a single step and this editorial journey is for all of you.
Foreword
In the last decades, surgery has been converted from tradition-based open surgery into evidence-based endoscopic surgery. Most surgical procedures today have endoscopic alternatives, and it seems that in the future only very few, elective laparotomies, like caesarean section, will remain. It seems, however, that despite the considerable development of surgical instruments and methodologies surgery will continue to develop and to optimise. One of the drawbacks of endoscopy, however, is that in most of the instruments the sensitivity of the fingertips has been abandoned in favour of the palms. Many surgeons insert the trocars in
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