Safe surgery/laparoscopy

Question 1

Where is palmers point?

Answer 1

3cm below subcostal margin, in midclavicular line

Question 2

Secondary ports - common site of injury?

Answer 2

inferior epigastric vessels

Question 3

Non-midline port - what diameter requires formal deep sheath closure?

Answer 3

7mm

Question 4

Midline port - what diameter requires formal deep sheath closure?

Answer 4

10mm

Question 5

Rate of major complications at laparoscopy?

Answer 5

1.4 in 1000

Question 6

Rate of bowel damage at laparoscopy?

Answer 6

0.4/1000

Question 7

Pressure for primary trocar insertion ?
And for rest of laparoscopy?

Answer 7

20-25mmHg
10-12mmHG

Question 8

Why are thin women at risk of laparoscopic injury?

Answer 8

The aorta may lie <2.5cm below the skin

Question 9

Difference between DC and AC current in surgery?

Answer 9

DC is unidirectional
AC is bidirectional (periodically reverses direction) and is used in electrosurgery to avoid electrolysis

Question 10

Difference between monopolar and bipolar?

Answer 10

monopolar - dispersive electrode is placed on the patient away from the active electrode
bipolar has 2 electrodes at the tip