Tips & Tricks for Minimally Invasive Adhesiolysis Ep #3 - Robotic Adhesiolysis
🔴Right to left or left to right
🔴Superficial to deep, but no caving
🔴Scissors tip toward abdominal wall and away from bowel wall
🔴Avoid diathermy
➡️Bipolar if necessary to control ooze impeding progress
🔴Swabs useful
🔴Holding honeycomb bridge of tissue
helps dissection
🔴Dissection flush with previous suture + dividing helps to enter a safe plane
🔴Use instrument articulation for obtaining traction rather than directly holding onto bowel
🔴Prograsp will provide better tissue grip
🔴Immediate repair of serosal tear as oedema develops when delayed