Use of direct optical entry technique as a safe modality for primary trocar insertion for gynaecological laparoscopic procedures

2016 ◽  
Vol 206 ◽  
pp. e82-e83
Author(s):  
Priti Nagdeve ◽  
Ausha De Silva ◽  
T.J.M. Mudzamiri
Keyword(s):  
Trocar Insertion ◽  
Laparoscopic Procedures ◽  
Primary Trocar

scholarly journals Is Pneumoperitoneum Really Required before Primary Trocar Insertion in Laparoscopy?

2009 ◽  
Vol 1 (2) ◽  
pp. 29-31
Author(s):  
Krishan Kapur
Keyword(s):  
Peritoneal Cavity ◽  
Veress Needle ◽  
Government Hospital ◽  
Mesenteric Injury ◽  
Trocar Insertion ◽  
Laparoscopic Procedures ◽  
Direct Trocar Insertion ◽  
Primary Trocar

ABSTRACT Objectives Traditionally a Veress needle is used to create a pneumoperitoneum before entering the primary trocar/cannula for laparoscopy. Insufflation of gas into the peritoneal cavity with the Veress needle is not without its problems. To do away with these problems the technique of direct trocar access was started. Materials and methods Between 01 Jan 2003 and 31 Dec 2008— 2958 laparoscopic procedures were carried out in a Government hospital. 345 patients out of these had undergone previous laparotomies. In all cases direct trocar insertion without pneumoperitoneum was done. Result In this series there were no complications except in one case there was mesenteric injury with bleeding which required a laparotomy. There were no failed laparoscopies. Conclusion We have found that direct trocar insertion before creating pneumoperitoneum is a safe and effective method for laparoscopic access and offers advantages over the conventional access modality of using a Veress needle for pneumoperitoneum.

Supraumbilical primary trocar insertion for laparoscopic access: the relationship between points of entry and retroperitoneal vital vasculature by imaging

2015 ◽  
Vol 213 (4) ◽  
pp. 506.e1-506.e5 ◽  
Author(s):  
Jamie Stanhiser ◽  
Linnea Goodman ◽  
Enrique Soto ◽  
Ibraheem Al-Aref ◽  
Jenny Wu ◽  
...  
Keyword(s):  
Trocar Insertion ◽  
The Relationship ◽  
Primary Trocar

Major vascular injury during laparoscopy

2018 ◽  
Vol 91 (3) ◽  
pp. 1-5
Author(s):  
Bartosz Paśnik ◽  
Andrzej Modrzejewski
Keyword(s):  
Abdominal Wall ◽  
Vascular Injury ◽  
Anterior Abdominal Wall ◽  
Needle Insertion ◽  
Vascular Injuries ◽  
Trocar Insertion ◽  
Verres Needle ◽  
Major Vascular Injury ◽  
Primary Trocar

Major Vascular injury during laparoscopy is most deadly complication of laparoscopy. This report is review major vascular injuries based on surgeon’s relation and literature. The incidence of MVI is 0,04–0,1%. Extremely important is to learn proper technique of insuflation. According to patient’s physique surgeon should consider best technique of insuflation, take caution against slim people, and induct implements with proper angle. We should avoid excesive force during trocar and Verres’s needle insertion, we also should avoid redundant movement after Verres needle is inserted in abdomen cavity. Elevation of the anterior abdominal wall at the time of Veress or primary trocar insertion is routinely recomended. Major vascular injury is seriously underestimated problem of laparoscopic operations.

Major vascular injury during laparoscopy

2018 ◽  
Vol 90 (5) ◽  
pp. 1-5
Author(s):  
Bartosz Paśnik ◽  
Andrzej Modrzejewski
Keyword(s):  
Abdominal Wall ◽  
Vascular Injury ◽  
Anterior Abdominal Wall ◽  
Needle Insertion ◽  
Vascular Injuries ◽  
Trocar Insertion ◽  
Verres Needle ◽  
Major Vascular Injury ◽  
Primary Trocar

Major Vascular injury during laparoscopy is most deadly complication of laparoscopy. This report is review major vascular injuries based on surgeon’s relation and literature. The incidence of MVI is 0,04 % - 0,1 %. Extremely important is to learn proper technique of insuflation. According to patient’s physique surgeon should consider best technique of insuflation, take caution against slim people, and induct implements with proper angle. We should avoid excesive force during trocar and Verres’s needle insertion, we also should avoid redundant movement after Verres needle is inserted in abdomen cavity. Elevation of the anterior abdominal wall at the time of Veress or primary trocar insertion is routinely recomended. Major vascular injury is seriously underestimated problem of laparoscopic operations.

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