Selman Uranues1, Orhan Veli Ozkan2, Gordana Tomasch3. 1. Department of Surgery, Medical University of Graz, Auenbruggerplatz 29, 8036, Graz, Austria. 2. Department of General Surgery, Faculty of Medicine, Sakarya University, Adnan Menderes Caddesi, Saglik Sokak No: 193, 54100, Sakarya, Turkey. veliorhan@hotmail.com. 3. Department of Gynecology and Obstetrics, Medical University of Graz, 8036, Graz, Austria.
Abstract
BACKGROUND: Access-related injuries are still an important consideration and may increase morbidity and mortality. This study aimed to present in detail a safe and easy technique for open insertion of the first trocar. PATIENTS AND METHODS: This technique has been used routinely in the vast majority of laparoscopic procedures at first author's department since 1998. The data were collected prospectively and analyzed retrospectively for the 11-year period of January 2005 through December 2015. The primary site of access is the umbilicus, but this technique can be used for all insertion points. RESULTS: A total of 2579 laparoscopic surgical interventions were performed. The abdominal access was established in 2252 patients in open and in 321 cases with blind puncture using a Veress needle. There were three cases (0.9 %) of accidental injuries with blind puncture and two cases (0.09 %) with open technique. Injuries sustained with open technique injuries were less severe and immediately discernable. None of the patients were converted to open technique. CONCLUSION: The method can be used easily and rapidly, even in obese patients. It is safer than blind puncture and reduces costs.
BACKGROUND: Access-related injuries are still an important consideration and may increase morbidity and mortality. This study aimed to present in detail a safe and easy technique for open insertion of the first trocar. PATIENTS AND METHODS: This technique has been used routinely in the vast majority of laparoscopic procedures at first author's department since 1998. The data were collected prospectively and analyzed retrospectively for the 11-year period of January 2005 through December 2015. The primary site of access is the umbilicus, but this technique can be used for all insertion points. RESULTS: A total of 2579 laparoscopic surgical interventions were performed. The abdominal access was established in 2252 patients in open and in 321 cases with blind puncture using a Veress needle. There were three cases (0.9 %) of accidental injuries with blind puncture and two cases (0.09 %) with open technique. Injuries sustained with open technique injuries were less severe and immediately discernable. None of the patients were converted to open technique. CONCLUSION: The method can be used easily and rapidly, even in obesepatients. It is safer than blind puncture and reduces costs.
Entities:
Keywords:
Access complications; First trocar; Laparoscopic entry technique; Open access; Open trocar insertion
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