Id |
Subject |
Object |
Predicate |
Lexical cue |
T94 |
0-32 |
Sentence |
denotes |
Specific surgical considerations |
T95 |
34-79 |
Sentence |
denotes |
Deflation technique at the end of a procedure |
T96 |
80-251 |
Sentence |
denotes |
Standard laparoscopic practice is to remove all ports under vision and subsequently expel all the operative gas followed by removal of the laparoscope under direct vision. |
T97 |
252-377 |
Sentence |
denotes |
In view of the potential aerosol risks all ports used to release gas should have a suitable smoke extraction device attached. |
T98 |
378-517 |
Sentence |
denotes |
At the end of the procedure, gas should be removed using the combination of a suction device and releasing gas slowing via a filtered port. |
T99 |
518-732 |
Sentence |
denotes |
The accessory ports should be removed slowly and over a blunt probe, which is subsequently removed, to reduce the risk of hernia as removal under direct vision is not possible when avoiding inadvertent gas leakage. |
T100 |
733-840 |
Sentence |
denotes |
The primary port should still be removed under direct vision once the abdomen has been completely deflated. |
T101 |
841-1086 |
Sentence |
denotes |
Ports larger than 5mm should be closed as per standard practice, however a J needle closure (after all other ports are removed) is recommended rather than using an Endoclose device, which would increase the risk of gas escaping from the abdomen. |
T102 |
1088-1125 |
Sentence |
denotes |
Total laparoscopic hysterectomy (TLH) |
T103 |
1126-1244 |
Sentence |
denotes |
Laparoscopic hysterectomies, in the context of malignancies, are likely to continue to be undertaken in this pandemic. |
T104 |
1245-1408 |
Sentence |
denotes |
Particular care must be taken during colpotomy and subsequent uterine extraction to minimise unfiltered gas leakage and sudden loss of blood and other body fluids. |
T105 |
1409-1540 |
Sentence |
denotes |
The abdomen should be emptied of gas using a suction device and filtered ports, as described above, prior to removal of the uterus. |
T106 |
1541-1673 |
Sentence |
denotes |
To minimise airborne droplet transmission consideration should be given to performing an open hysterectomy, on a case by case basis. |