Hand-assisted laparoscopic surgery (HALS)

This is a surgical technique where a bowel resection is performed using a small “open” incision through which a device is placed in the abdominal wall which allows a gloved hand to be inserted, and laparoscopically, commonly called “key hole surgery” completed, using additional small entry ports and viewing the operative field on a video monitor. It allows for the benefits of key hole surgery at the same time as allowing palpation and manual manipulation of the diseased bowel, extending the range of what can be removed laparoscopically.

Hand-assisted techniques are commonly used in anterior resections when the benefits of key hole surgery and yet the access of open surgery are both desired due to the disease process, patient size or surgeon preference.

The risks associated with a hand-assisted laparoscopic surgery can be related but not limited to the wounds (wound infection, hernia), the bowel join (leakage, bleeding), and to the patient’s heart (arrhythmia), lungs (infection), kidneys and urinary system and the venous system (deep vein thrombosis, pulmonary emboli).

Pain relief is well organised after the procedure by the hospitals anaesthetic department. Fluids and return to a normal diet are determined by your doctors’ usual protocol and your individual circumstances.
It is best to discuss more details regarding your specific case with your doctor.

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