Gynecological procedures under gasless laparoscopy

Objective To evaluate gasless laparoscopy in treating gynecological conditi ons. Methods With Kirschner wire lifting, transversely or longitudinally introdu ced into abdominal wall subcutaneously, we exposed the operative field and pelvic organs with routine operative instruments under epidural anesthesia. When a dense pelvic adhesion was confronted, we used the temporarily low-p ressured pneumolaparoscopy to dissect it. Results All procedures were carried out without organ injury, hematoma, or other complications. The operative field can be clearly seen with this meth od. The mean time for appendagectomy was one hour and for laparoscopic assi sted vaginal hysterectomy 80 minutes. Conclusion Gasless laparoscopy avoids the complications which occur in the routine laparoscopy such as subcutaneous or mediastinal pneumatoma, hyperca rbonemia, air embolism, cardiopulmonary dysfunction. Our lifting method is simple, convenient, time and money saving, as well as more flexible for tre ating gynecological conditions.