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Minilaparoscopy as an Alternative to Natural Orifice Surgery Daniel Tsin, MD  Dawar Mahmood, MD Panagiotis Manolas , MD Joan Padouvas, MD
Objective ,[object Object]
Advantages ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Trocar Type Fascial Closure 2 mm MiniSite* Introducer NO 5 mm NO 10 mm (below the level of the Umbilicus) YES 10 mm (above the level of the Umbilicus) NO 12 mm  YES 15 mm YES
Relative Contraindications ,[object Object],[object Object]
Method and Port Placement for Laparoscopic Appendectomy ,[object Object],[object Object],[object Object]
 
Method and Port Placement Laparoscopic Cholecystectomy ,[object Object],[object Object],[object Object],[object Object]
 
Room set up
[object Object],[object Object]
[object Object]
 
[object Object]
Conclusion ,[object Object],[object Object],[object Object]
Results ,[object Object],[object Object],[object Object]

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Minilaparoscopy as an alternative to natural orifice surgery

  • 1. Minilaparoscopy as an Alternative to Natural Orifice Surgery Daniel Tsin, MD Dawar Mahmood, MD Panagiotis Manolas , MD Joan Padouvas, MD
  • 2.
  • 3.
  • 4. Trocar Type Fascial Closure 2 mm MiniSite* Introducer NO 5 mm NO 10 mm (below the level of the Umbilicus) YES 10 mm (above the level of the Umbilicus) NO 12 mm YES 15 mm YES
  • 5.
  • 6.
  • 7.  
  • 8.
  • 9.  
  • 11.
  • 12.
  • 13.  
  • 14.
  • 15.
  • 16.

Hinweis der Redaktion

  1. Selling your ideas is challenging. First, you must get your listeners to agree with you in principle. Then, you must move them to action. Use the Dale Carnegie Training® Evidence – Action – Benefit formula, and you will deliver a motivational, action-oriented presentation.
  2. Open your presentation with an attention-getting incident. Choose an incident your audience relates to. The incidence is the evidence that supports the action and proves the benefit. Beginning with a motivational incident prepares your audience for the action step that follows.
  3. Next, state the action step. Make your action step specific, clear and brief. Be sure you can visualize your audience taking the action. If you can’t, they can’t either. Be confident when you state the action step, and you will be more likely to motivate the audience to action.
  4. To complete the Dale Carnegie Training® Evidence – Action – Benefit formula, follow the action step with the benefits to the audience. Consider their interests, needs, and preferences. Support the benefits with evidence; i.e., statistics, demonstrations, testimonials, incidents, analogies, and exhibits and you will build credibility.
  5. To close, restate the action step followed by the benefits. Speak with conviction and confidence, and you will sell your ideas.
  6. Room set up
  7. Placement of the 2,8 mm Umbilical Port
  8. Three 2,8 mm ports and a 12 mm suprapubic port
  9. Gallbladder extraction via a suparapubic port