IPEG PRESENTS: "How I Do It"
Practical Approaches to Pediatric
Minimally Invasive
Surgery
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Laparoscopic Gastrostomy Tube Placement
Mark L. Wulkan, M.D.
This is a technique of gastrostomy tube placement (LAPGT) that was developed in Birmingham, AL by Keith Georgeson, M.D., Thomas Pranikoff, M.D. and myself when Tom & I were fellows. This technique allows the primary placement of a Mic-Key ® button gastrostomy device.
A Veress needle is introduced through a small incision in the
umbilicus (figure 1)...
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