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Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition) ›› 2019, Vol. 05 ›› Issue (04): 334-337. doi: 10.3877/cma.j.issn.2096-1537.2019.04.008

Special Issue:

• Basic Science Research • Previous Articles     Next Articles

The feasibility to perform emergency laparotomy using visual puncture system

Yanmei Feng1, Xun Liu2, Huisheng Deng2, Rui Guo3()   

  1. 1. Department of Respiratory Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
    2. Department of Geriatrics, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
    3. Department of Emergency, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
  • Received:2018-03-09 Online:2019-11-28 Published:2019-11-28
  • Contact: Rui Guo

Abstract:

Objective

To investigate the feasibility to perform emergency laparotomy using a visual puncture system.

Methods

A micro imaging fiber (0.9 mm) was delivered into the 18G needle to develop the visual puncture system. The comparison of puncture-to-abdomen time and incision size between the visual puncture system and traditional laparoscopy was investigated in five fresh cadavers of healthy canines.

Results

This visual puncture system provided clear image of abdominal viscerals. In comparison to the traditional group, the visual group had less puncture-to-abdomen time [(2.54±0.32) s vs. (9.65±0.60) s, P<0.001] and smaller incision size [(1.30±0.02) mm vs. (11.81±1.03) mm, P<0.001].

Conclusion

This visual puncture system meets the requirements of initial design and provides an alternative platform for emergency laparotomy in future.

Key words: Visual puncture system, Emergency, Laparotomy, Feasibility

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