[Features of video laparoscopic interventions in patients operated earlier on abdominal organs]

Laparoscopic operations in patients who have undergone earlier "open" operations on abdominal organs are described. Before 1994 open laparoscopy by Hassan was used for penetration into the abdominal cavity. There were 46 such manipulations (2.14% of all 9100 endosurgical operations), in 5 cases of them the conversion to open operation was necessary. From 1994 the optic trocar "Visiport" was used permitting to image tissues in its passage through anterior abdominal wall. 195 operations with optical trocar were performed. All the patients had been operated earlier. Trocar was introduced without damages of abdominal organs in all the cases. Trocar was introduced in the left iliac area, where the comissures were found in 4 cases only. In 147 patients during revision unions of intestinal loops and great omentum with anterior abdominal wall were revealed. In one patient significant comissural process was revealed, so conversion to laparotomy was necessary. In 2 other patients laparotomy was performed because of damage of ileum and ceclim during endoscopic operation. Main criterion of rejection laparoscopic operation in patients operated earlier on abdominal organs is the results of laparoscopy with trocar.