Abstract | OBJECTIVES: The direct trocar insertion technique (DTI) for the creation of pneumoperitoneum has been described as an alternative to open and Veress needle (VN) techniques. This study assesses the safety and feasibility of direct trocar insertion without a pre-existing pneumoperitoneum in patients undergoing elective laparoscopic procedures. METHODS: RESULTS: Creation of pneumoperitoneum with DTI was feasible in 99.5% of patients. No major complications were associated with the technique. Immediate minor postoperative complications included 1 (0.5%) wound infection and 3 (1.5%) hematomas. At mean follow-up of 23 months, 4 (2%) umbilical wound stitch granulomas and 1 (0.5%) incisional hernia from the umbilical port site were observed. CONCLUSION: This study shows that that when performed by an experienced laparoscopic surgeon the direct trocar insertion technique is a safe and effective alternative for creation of pneumoperitoneum.
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Authors | K Theodoropoulou, D R Lethaby, H A Bradpiece, T L Lo, A Parihar |
Journal | JSLS : Journal of the Society of Laparoendoscopic Surgeons
(JSLS)
2008 Apr-Jun
Vol. 12
Issue 2
Pg. 156-8
ISSN: 1086-8089 [Print] United States |
PMID | 18435888
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Female
- Humans
- Laparoscopy
(methods)
- Male
- Middle Aged
- Pneumoperitoneum, Artificial
(instrumentation, methods)
- Retrospective Studies
- Surgical Instruments
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