T Lafullarde1, R Van Hee, T Gys. 1. Academic Surgical Center Stuivenberg, Lange Beeldekensstraat 267, B-2060 Antwerp, Belgium.
Abstract
BACKGROUND: Access to the peritoneal cavity in laparoscopic procedures is generally achieved by means of a pneumoperitoneum, following introduction of a Veress needle. Because this procedure must be done blindly, it is not without visceral or vascular hazards. Therefore, we sought an alternative technique that might obviate these complications. METHODS: In a series of 803 patients, a modified Hasson technique was used to obtain a pneumoperitoneum without risking the complications associated with the introduction of a Veress needle. RESULTS: The modified Hasson technique proved to be feasible in all cases. No visceral or vascular complications resulted, but 10 patients had a transient serous discharge. Follow-up ranged between 5 and 52 months. CONCLUSION: The modified Hasson technique should always be used in laparoscopic procedures.
BACKGROUND: Access to the peritoneal cavity in laparoscopic procedures is generally achieved by means of a pneumoperitoneum, following introduction of a Veress needle. Because this procedure must be done blindly, it is not without visceral or vascular hazards. Therefore, we sought an alternative technique that might obviate these complications. METHODS: In a series of 803 patients, a modified Hasson technique was used to obtain a pneumoperitoneum without risking the complications associated with the introduction of a Veress needle. RESULTS: The modified Hasson technique proved to be feasible in all cases. No visceral or vascular complications resulted, but 10 patients had a transient serous discharge. Follow-up ranged between 5 and 52 months. CONCLUSION: The modified Hasson technique should always be used in laparoscopic procedures.
Authors: E Totté; R Hee; P Brabant; B Wollaert; E Gheuens; S Declerck; J Leys; G Pelgrims; T Dieudonné; F Oei; M Vandermotte Journal: Surg Endosc Date: 2001-12-10 Impact factor: 4.584
Authors: E Erdas; C Dazzi; F Secchi; S Aresu; A Pitzalis; M Barbarossa; A Garau; A Murgia; P Contu; S Licheri; M Pomata; G Farina Journal: Hernia Date: 2012-06-20 Impact factor: 4.739