Hand-assisted laparoscopic surgery (HALS)

A useful technique for complex laparoscopic abdominal procedures

Muhammed Ashraf Memon, Robert Joseph Fitzgibbons

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

Advanced laparoscopic abdominal surgery is now being performed routinely. However, it can be extremely challenging and time-consuming, and it may be associated with increased intraoperative and postoperative complications, mainly due to the loss of tactile sensation with totally laparoscopic techniques. This article describes a technique of hand-assisted laparoscopic surgery for complex abdominal procedures that allows the surgeon to insert a nondominant hand into the abdominal cavity while preserving the pneumoperitoneum. Use of the hand allows for rapid exploration, methodical dissection, identification of crucial structures, and expeditious performance of a procedure because of the maintenance of the tactile sensation. Our experience with this approach has been favorable.

Original languageEnglish
Pages (from-to)143-150
Number of pages8
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques - Part A
Volume8
Issue number3
StatePublished - Jun 1998

Fingerprint

Hand-Assisted Laparoscopy
Touch
Hand
Pneumoperitoneum
Abdominal Cavity
Intraoperative Complications
Laparoscopy
Dissection
Maintenance

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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