Laparoscopic Entry Techniques in Obese Patient: Veress Needle, Direct Trocar Insertion or Open Entry Technique?

2014 ◽  
Vol 24 (12) ◽  
pp. 2193-2194 ◽  
Author(s):  
Radwan Kassir ◽  
Pierre Blanc ◽  
Patrice Lointier ◽  
Olivier Tiffet ◽  
Jean-Luc Berger ◽  
...  
Keyword(s):  
Obese Patient ◽  
Veress Needle ◽  
Trocar Insertion ◽  
Laparoscopic Entry ◽  
Direct Trocar Insertion

scholarly journals Comparison of Complications between Direct Trocar Insertion Versus Veress Needle for Creation of Pneumoperitoneum in Patients Undergoing laparoscopic Cholecystectomy: A Randomized Control Trial

2021 ◽  
pp. 294-299
Author(s):  
Kamran Hamid ◽  
Shabbir Ahmad ◽  
Bahzad Akram Khan ◽  
Muhammad Faheem Answer ◽  
Amer Latif ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Needle Insertion ◽  
Veress Needle ◽  
P Value ◽  
Surgical Department ◽  
Trocar Insertion ◽  
Laparoscopic Entry ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
Direct Trocar Insertion

Aim: To compare the outcomes in term of complication of Veress Needle Insertion (VNI) to Direct Trocar Insertion (DTI) for creation of pneumoperitoneum in laparoscopic cholecystectomy. Design: Randomized controlled trial Place and Duration of Study: The current analysis was conducted at Khawaja Muhammad Safdar Medical College Surgical Department, Allama Iqbal Memorial Hospital and Govt. Sardar Begum Teaching Hospital, Sialkot from September 27, 2017, to September 26, 2020. Methodology: A total of six hundred and eight (n=608) patients, having age 30 to 75 years planned for laparoscopic cholecystectomy were included in this study. Patients were randomly divided into two groups, Group A (Direct Trocar Insertion), Group B (Veress Needle Insertion). Both groups had age and sex matched males and female. All trocars and veress needle used were disposable, with a safety shield. The primary outcome of our study was to compare the complications to assess the safety levels, while total time taken by the procedure and mean time for laparoscopic entry were the secondary end points. The collected data was analyzed by using software SPSS version 22. Chi-square test was used to check the significance of variance. P-value less than 0.05 remained the statistically significant. Results: The complication rate in VNI group were significantly greater than the DTI group (p < 0.01), the duration of surgery between the two groups was not significantly different (p > 0.05), but we found statistically significant difference in mean laparoscope insertion time (DTI 3.4+ 1.4 versus VNI 4.8+ 0.7 minutes, p < 0.001). Conclusion: From the results of our study, it can be concluded that the direct trocar insertion is a safe alternative to veress needle insertion in laparoscopic cholecystectomy as it is associated with fewer complications.

Rethinking Direct Trocar Insertion for Laparoscopic Entry: Lessons from Nine Litigated Cases

2016 ◽  
Vol 23 (7) ◽  
pp. S213 ◽  
Author(s):  
GA Vilos ◽  
AG Vilos ◽  
B Abu-Rafea ◽  
C Zhu ◽  
A Ternamian
Keyword(s):  
Trocar Insertion ◽  
Laparoscopic Entry ◽  
Direct Trocar Insertion

scholarly journals Classical Closed Technique by Veress Needle Insertion Versus Direct Trocar Insertion in the Creation of Pneumoperitoneum in Various Laparoscopic Surgeries

2019 ◽  
Vol 6 (7) ◽  
Author(s):  
Umer Mushtaq ◽  
Ghulam Mohammad Naikoo ◽  
Ishfaq Ahmad Gilkar ◽  
Javid Ahmad Peer ◽  
Waseem Ahmad Dar ◽  
...  
Keyword(s):  
Needle Insertion ◽  
Veress Needle ◽  
Trocar Insertion ◽  
Closed Technique ◽  
Direct Trocar Insertion ◽  
The Creation

Direct Trocar Insertion without Pneumoperitoneum and the Veress Needle in Laparoscopic Cholecystectomy: a Comparative Study

2006 ◽  
Vol 106 (5) ◽  
pp. 541-544 ◽  
Author(s):  
E. Prieto-Díaz-Chávez ◽  
J.-L. Medina-Chávez ◽  
A. González-Ojeda ◽  
R. Anaya-Prado ◽  
B. Trujillo-Hernández ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Comparative Study ◽  
Veress Needle ◽  
Trocar Insertion ◽  
Direct Trocar Insertion

scholarly journals Native Umbilical Defect for Laparoscopic Entry

2020 ◽  
Vol 17 (3) ◽  
Author(s):  
Tarek Osama Hegazy ◽  
Mohamed Hassan Ali ◽  
Ahmed Amr Mohsen ◽  
Mahmoud Azhary ◽  
Ahmad Yahia Abdel Dayem
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Native Defect ◽  
Open Technique ◽  
Entry Site ◽  
Native Defects ◽  
Umbilical Incision ◽  
Trocar Insertion ◽  
Laparoscopic Entry ◽  
Direct Trocar Insertion

Background: The presence of defects in native umbilical in adults and its use as laparoscopic first entry site is poorly documented. It would likely be a safer method than the Veress needle and direct trocar insertion. This work aimed to report the prevalence and size of native umbilical defects, and their relationship with gender, age and body mass index. Methods: In 160 consecutive laparoscopic operations, a trans-umbilical incision was made and a defect at its base was looked for. When found, the defect was measured and used as the first port entry site. Relationships of presence of native defects and their sizes in relation to gender, age and BMI were analyzed. Results: The prevalence of a native defect in this series was 90%. Its presence had no relation with gender, age or BMI. Its size, however, positively correlated with age and BMI. No complications were related to the defect’s use for first laparoscopic entry site. Conclusion: A native umbilical defect is present in 90% of adults. Whenever present, it is recommended for use as the first port entry site by an open technique. This method is simple and safe and avoids unnecessarily inducing another defect. Keywords: Laparoscopy, Open technique, Access, Native defect, Umbilical defect

Direct trocar insertion without previous pneumoperitoneum versus insertion after insufflation with Veress needle in laparoscopic gynecological surgery: a prospective cohort study

2019 ◽  
Vol 39 (7) ◽  
pp. 1000-1005
Author(s):  
Manuel Pantoja Garrido ◽  
Zoraida Frías Sánchez ◽  
Ignacio Zapardiel Gutiérrez ◽  
Rafael Torrejón ◽  
Cecilia Jiménez Sánchez ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Veress Needle ◽  
Gynecological Surgery ◽  
Trocar Insertion ◽  
Direct Trocar Insertion

scholarly journals Comparison of the Number of Attempts in Creating Pneumoperitoneum for Laparoscopic Cholecystectomy Using Direct Trocar Versus Veress Needle Insertion

2021 ◽  
Vol 15 (7) ◽  
pp. 1787-1790
Author(s):  
Kamran Hamid ◽  
Shabbir Ahmad ◽  
Faisal Shabbir ◽  
Amer Latif ◽  
Shahzad A. ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Laparoscopic Cholecystectomy ◽  
Body Mass ◽  
Controlled Trial ◽  
Needle Insertion ◽  
Veress Needle ◽  
Key Words Laparoscopic Cholecystectomy ◽  
Safe Alternative ◽  
Trocar Insertion ◽  
Direct Trocar Insertion

Aim: To compare the number of attempts at creating pneumoperitoneum for laparoscopic cholecystectomy using direct trocar versus veress needle insertion techniques. Design: Randomized controlled trial Place and Duration of Study: Department of Surgery, Allama Iqbal Memorial Hospital Sialkot and Govt. Sardar Begum Teaching Hospital, Sialkot from 27th September 2017 to 26th September 2020. Methodology: Six hundred and eight patients of both male and female patients, having uncomplicated cholelithiasis were selected. All participants were randomized into two equal groups, Group A (direct trocarInsertion) and the Group B (veress needle insertion). All trocars and veress needle used were disposable, with a safety shield. All procedures were carried out by the single experienced surgeons and his team. Data was noted, regarding age, sex, body mass index (BMI) and the number of attempts to create the successful pneumoperitoneum. Results: The number of attempts to create successful pneumoperitoneum in DTI group was significantly feweras compared to VNI group (p=0.026) but we found no statisticallysignificant difference between age, gender, and body mass index. Conclusion: The direct trocar insertion is a safe alternative to veress needle insertion in laparoscopic cholecystectomy because it requires fewernumber of attempts for successful creation of pneumoperitoneum as compared to the veress needle. Key words: Laparoscopic cholecystectomy, Veress needle insertion, Direct trocar insertion, Pneumoperitoneum

Sign in / Sign up

Export Citation Format

Share Document