ALL-SAFE/Trocar Placement Procedure

Medical skill data
Part of	ALL-SAFE
Parent	ALL-SAFE

Welcome to the procedure part of the Trocar Placement module. Here the learner will go through a pre-test and interactive case scenario to learn about Trocar Placement for laparoscopy.

Pre-test[edit | edit source]

Learners will first take a pre-test to assess their baseline knowledge of the topic. This test is available on our interactive platform and gives real-time grading for learners to immediately assess their knowledge coming into the module. It is also copied in appropedia format below. On our platform, answer explanations are not displayed for the pre-test (but are displayed in the post-test).

The answers, with explanations, are available for review in the post-test which is accessible here for download as a pdf.

ALL-SAFE Trocar Placement Pre & Post Test PDF

Case scenario[edit | edit source]

The psychomotor learning is embedded in the sequence of a full clinical case, allowing the learner to digest pre-, intra-, and operative concepts of trocar placement.

Learners will go through an interactive case scenario with embedded course material. The case scenario is presented in a question / answer format. As learners progress through the case, they will digest information that is presented to them as they answer case questions. It is highly recommended that the learner be familiar with this content before proceeding to the skill pages.

How the Trocar Placement pre-test and case scenario look on our site

Page data
Part of	ALL-SAFE
Keywords	trocar placement, laparoscopy
Authors	ALL-SAFE Team
License	CC-BY-SA-4.0
Organizations	Global Surgical Training Challenge
Language	English (en)
Related	0 subpages, 4 pages link here
Impact	60 page views
Created	July 25, 2023 by ALL-SAFE Team
Modified	January 29, 2024 by Felipe Schenone
Cite as	ALL-SAFE Team (2023–2024). "ALL-SAFE/Trocar Placement Procedure". Appropedia. Retrieved April 26, 2024.
API queries	basic, semantic, html, files, more

	Abdominal compartment syndrome
	Uncorrected coagulopathy
	Refractory hemodynamic instability
	All of the above

	Supine position, Trendelenburg, both arms tucked
	Supine position, reverse Trendelenburg, both arms abducted
	Prone position, Trendelenburg, both arms tucked
	Prone position, reverse Trendelenburg, both arms abducted

	Hasson technique reduces the overall length of the procedure
	Hasson technique results in a smaller fascial defect
	Hasson technique allows direct visualization of the abdominal wall
	Hasson technique is less useful in patients with abdominal wall adhesions

	5 mmHg
	10 mmHg
	15 mmHg
	20 mmHg

	Continue with exploration of the ovaries and tubes
	Convert to open surgery to explore for source of bleeding
	Increase pneumoperitoneum to 25 mm Hg
	Insert an additional trocar to assist identification of bleeding source

	Rise in peak airway pressure
	Hypertension
	Tachycardia
	Lower extremity edema

	In left lower quadrant
	At midline abdomen
	At medial costal margin
	At the umbilicus

	Insert stay sutures in the fascial edges of the incision
	Perform a finger sweep on the underside of the abdominal wall
	Place the trocar through the incision and secure
	Insufflate the abdomen to establish pneumoperitoneum

	Desufflation of the abdomen
	Administration of vagolytic agents
	Volume replacement
	All of the above

	Previous umbilical trocar placement
	Ventral hernia repair
	Periumbilical piercings
	Postpartum tubal ligation
	Severe abdominal wall laxity