Standardizing Pneumoperitoneum for Laparoscopic Entry. Time, Volume, or Pressure: Which Is Best?

2012 ◽  
Vol 19 (2) ◽  
pp. 196-200 ◽  
Author(s):  
Angus J.M. Thomson ◽  
Mamdouh N. Shoukrey ◽  
Isla Gemmell ◽  
Jason A. Abbott
Keyword(s):  
Entry Time ◽  
Laparoscopic Entry

scholarly journals Modified Hasson technique: a quick and safe entry of first port into the abdomen

2019 ◽  
Vol 6 (8) ◽  
pp. 2802
Author(s):  
Robinson George ◽  
Veerabhadra Radhakrishna ◽  
Mebin Mathew ◽  
Aswini Thenamangalath ◽  
Ashna Rahman
Keyword(s):  
Standard Technique ◽  
Port Site ◽  
College Hospital ◽  
Medical College ◽  
The Past ◽  
Entry Time ◽  
Laparoscopic Entry ◽  
Port Site Hernia ◽  
The Mean ◽  
Intraabdominal Injury

Background: Laparoscopy is the standard technique for abdominal surgeries. There has been a debate over the safest laparoscopic entry technique over the past two decades. But, no technique has been regarded as the best, leading to numerable techniques. We use a modified Hasson technique to enter the peritoneal cavity. Hence, we conducted a study to evaluate the efficacy of our modified Hasson technique.Methods: A retrospective study was conducted in the Department of General Surgery, Al Azhar Medical College Hospital from January 2013 to December 2018.Results: A total of 156 patients were studied. Inguinal hernia repair was the most common indication. The mean entry time was 2±0.7 minutes. The postoperative complications included port site seroma [1 (0.6%)] and port site infection [1 (0.6%)]. Both the complications were found at the umbilical port and all following surgery for appendicular perforation. There was no incidence of preperitoneal placement of port, intraabdominal injury, port site hematoma or port site hernia. There was no mortality in the study group.Conclusions: Modified Hasson technique is a safe and quick technique to enter the abdomen.

Standardizing pneumoperitoneum for laparoscopic entry: Time, volume or pressure—Which is best?

2004 ◽  
Vol 11 (3) ◽  
pp. S27
Author(s):  
AJM Thomson ◽  
M Lenart ◽  
BR Walsh ◽  
JA Abbott ◽  
TG Vancaillie
Keyword(s):  
Entry Time ◽  
Laparoscopic Entry

scholarly journals A retrospective study of a novel non-umbilical laparoscopic entry port in thin patients—Jain point

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Nutan Jain ◽  
Shalini Singh ◽  
Kiran Kumari Mandal ◽  
Apoorva Walia ◽  
Vandana Jain ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Laparoscopic Entry

Safe Technique for Laparoscopic Entry into the Abdominal Cavity

2001 ◽  
Vol 8 (4) ◽  
pp. 519-528 ◽  
Author(s):  
Gerard M. Roy ◽  
Luca Bazzurini ◽  
Eugenio Solima ◽  
Anthony A. Luciano
Keyword(s):  
Abdominal Cavity ◽  
Laparoscopic Entry ◽  
Safe Technique

scholarly journals Corrigendum to ‘Guideline No. 412: Laparoscopic Entry for Gynaecological Surgery’ [Journal of Obstetrics and Gynaecology Canada 43 (2021) 376−389]

2021 ◽  
Vol 43 (9) ◽  
pp. 1120-1121
Author(s):  
George A. Vilos ◽  
Artin Ternamian ◽  
Philippe Y. Laberge ◽  
Angelos G. Vilos ◽  
Basim Abu-Rafea ◽  
...  
Keyword(s):  
Gynaecological Surgery ◽  
Obstetrics And Gynaecology ◽  
Laparoscopic Entry

scholarly journals COMPARISON OF A NEW VERESS NEEDLE ENTRY METHOD AND CLASSIC VERESS NEEDLE ENTRY METHOD IN GYNECOLOGIC LAPAROSCOPY: A PROSPECTIVE RANDOMIZED STUDY

2018 ◽  
Vol 6 (2) ◽  
pp. 74-79
Author(s):  
Uğurkan Erkayıran ◽  
Bülent Köstü ◽  
Alev Özer
Keyword(s):  
Horizontal Plane ◽  
Randomized Study ◽  
Veress Needle ◽  
Operative Outcomes ◽  
Laparoscopic Entry ◽  
Gynecologic Laparoscopy ◽  
The Mean ◽  
Group 2 ◽  
Needle Entry ◽  
Group 1

Background: To compare cranial 15º angulation of Veres needle to classic Veress needle entry in closed laparoscopic entry in obese patients. Method: Patients with BMI index>30 were divided into two groups. Initial entry into the abdomen in Group 1 (n=29) was performed with the intraumbilical insertion of Veress needle in 90o angle relative to the horizontal plane. In Group 2 (n=31) the Veress needle was placed intraumbilically in a cranial direction, the tip of the needle towards the thoracic cavity, with an angle of 15o to the horizontal plane. Two groups were compared with respect of the operative outcomes. Results: In Group 2, the mean number of Veress needle entries attempt was significantly lower than Group 1 (p=0.01). Time to insertion of the Veress needle was found to be significantly shorter in Group 2 than in Group 1 (p<0.001). While entry failure occurred in 3 patients in Group 1 (10.3%), no failures were monitored in any patients in Group 2 (p= 0.01). Complication rate was significantly lower in Group 2 than in Group 1 (p= 0.03). Conclusion: Placement of Veress needle intraumbilically in a cranial direction at 15°angle to the horizontal plane increases entry success and reduces complications.

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.

scholarly journals Intelligent Parking System

2019 ◽  
Vol 8 (2S3) ◽  
pp. 550-553
Keyword(s):  
Urban Communities ◽  
Character Recognition ◽  
Optical Character Recognition ◽  
Exit Time ◽  
Region Of Interest ◽  
License Plate ◽  
Past Study ◽  
Entry Time ◽  
Parking System ◽  
Best Fit

As a key part of Automated vehicle technology Intelligent Parking System has become a popular research topic. Intelligent Parking System can grant permission to access the parking area with less human inference. This system can capture image of the vehicle, identify the type of vehicle and allot best fit and optimal parking slot based on its size. It extracts the vehicle’s License plate number, entry time, exit time and calculate total time of the vehicle present with in the parking space. Here, sensors are utilized to identify the presence of the vehicle during entry and exit. Two cameras are utilized to extract features. One camera is used to identify the Region of Interest, Vehicle license plate and identify the characters from the license plate. Tesseract Engine and Optical Character Recognition (OCR) functions are used to detect characters from the image. Another camera is utilized to extract features like dimensions of the vehicle using machine learning operations such as Convolutional Neural Network (CNN). Based on the size of the vehicle, best fit parking slot is allotted which gives optimal usage of parking area. These days the quantity of vehicles is expanding exceptionally, so that, searching for an empty parking slot turns out to be increasingly troublesome. By installing the Intelligent Parking System, in places like, shopping malls, train stations, and airports the need for searching of parking slot significantly reduces. A past study has demonstrated that traffic because of vehicle’s parking slot searching in downtowns of significant urban communities can represent half of the absolute traffic. With such a hefty traffic jam and time delay in parking slot identifying, Intelligent Parking System will be in great demand

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