Advanced Laparoscopy by A. Smamsa

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2001). Abdominal access complications in laparoscopic surgery. 525–36, ISSN 1072-7515 Planells Roig, M; Arnal Bertomeu, C; Cervera Delgado, M; Garcia Espinosa, R; Sanahuja Santafé, A. & Carrau Giner, M. (2011). Pain, analgesic consumption and daily life activities recovery in patients undergoing ambulatory totally extra-peritoneal laparoscopic inguinal hernioplasty versus ambulatory Lichtenstein hernioplasty. Cir Esp, Apr 8. Epub ahead of print. ISSN 1131-0898 Rist, M; Hemmerling, TM; Rauh, R; Siebzehnrübl, E.

1017-23, ISSN 0004-0010 Huettemann, E; Terborg, C; Sakka, SG, Petrat, G; Schier, F. & Reinhart, K. (2002). Preserved CO2 reactivity and increase in middle cerebral arterial blood flow velocity during laparoscopic surgery in children. Anesth Analg, Vol. 2, (Feb 2002), pp. 255–8, ISSN 0003-2999 Ikeya, E; Taguchi, J; Ohta, K; Miyazaki, Y; Hashimoto, O; Yagi1,K; Yamaguchi, M; Inamura S. & Makuuchi, H. (2006). Compartment Syndrome of Bilateral Lower Extremities Following Laparoscopic Surgery of Rectal Cancer in Lithotomy Position: Report of a Case.

This means prolonged neuromuscular blockade/paralysis. The intubation of the patient has to be skilfully administered to avoid intraluminal gaseous distension and the consequent impairment of visualisation. To minimise this, limited use of the bag and mask is recommended as well as immediate decompression of the stomach by use of a nasogastric tube. The positioning of the patient may require the patient being at the end of the bed and far from the anaesthetic machine. This will need long length apparatus and connectors to intravenous access lines to facilitate management of anaesthetic requirements intraoperatively.

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