Laparoscopic Cholecystectomy for Stone impacted at Hartmann's pouch
11 months ago
This video demonstrate Laparoscopic Cholecystectomy for Stone impacted at Hartmann's pouch. Manipulating the gallbladder with the left-hand instrument is a key part of performing a laparoscopic cholecystectomy. In these case stone should be removed from hartmann pouch. If a stone is impacted in the Hartmann’s pouch, this manipulation can be difficult, and can cause cramp and exhaustion of the surgeon’s left hand or injury to the gallbladder if a toothed instrument is used to improve grip. For the experienced laparoscopic surgeon, this tip makes manoeuvrability of the thickened, impacted Hartmann’s pouch simpler. We have used it in the acute and elective setting to great effect. The tape provides gentle traction and can be resisted easily if there are any concerns about placement as dissection continues.