scholarly journals A comparative study of the open versus closed method of pneumoperitoneum creation in laparoscopic surgery

2021 ◽  
Vol 8 (11) ◽  
pp. 3344
Author(s):  
Bhavesh V. Vaishnani ◽  
Kapil R. Kachhadiya ◽  
Mohit R. Chauhan
Keyword(s):  
Laparoscopic Surgery ◽  
Standard Technique ◽  
Good Alternative ◽  
Port Site ◽  
Open Method ◽  
Closed Technique ◽  
Main Challenge ◽  
Gas Leak ◽  
Average Size ◽  
Open Versus

Background: The main challenge facing the laparoscopic surgery is the primary abdominal access, as it is usually a blind procedure and associated with many complications including life threading vascular and visceral injuries. Techniques for the creation of pneumoperitoneum in laparoscopy include the standard technique of insufflation after insertion of the Veress needle (closed method), open laparoscopy (Hasson technique) and many others.Methods: This is observational study conducted in the department of General surgery, PDUMC, Rajkot from September 2018 to September 2020 comprising of 100 cases, 50 cases from each methods. The patients admitted in our department for Laparoscopic surgery was taken up for the study. The Purpose of our study is to assess the practicality of both methods in creation of pneumoperitoneum and to compare both methods with regards to ease of performance and incidence of complications.Results: Average size of incision (p=-5.426) is more in open method, hence more incidence of minor complications like multiple attempts, gas leak at port site and port site bleeding in open method while less duration for creating pneumoperitoneum (p=0) as compared to closed method. While there is no major complications in either groups.Conclusions: Open technique is as good as closed technique, and is good alternative to closed technique.

scholarly journals A PROSPECTIVE COMPARATIVE STUDY OF OPEN VERSUS CLOSED METHOD OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERY

2020 ◽  
pp. 1-3
Author(s):  
Akshar Patel ◽  
Shashank Desai
Keyword(s):  
Laparoscopic Surgery ◽  
Comparative Study ◽  
Tertiary Care ◽  
Needle Insertion ◽  
Care Hospital ◽  
Open Method ◽  
Group A ◽  
Prospective Comparative Study ◽  
Group B ◽  
Open Versus

Objective: The aim of the study was to compare open and closed method in terms of time require for creation of pneumoperitoneum and to ascertain safety in laparoscopic surgery. Methodology: This was a prospective comparative study carried out at a tertiary care hospital from January 2019 to December 2019.We selected 100 patients who were planned for laparoscopic surgery and divided them into two equal groups using the envelop method of randomization. Group A comprised of patients in whom we created pneumoperitoneum by classical veress needle insertion and in Group B by open method. Results: In our study, the mean time require for closed method was 6.92 minutes while by open method it was 4.36 minutes. Complication rate was 18% in closed and 16% in open method. Conclusion: open method is quick but comparable to closed method in terms of complications.

scholarly journals A comparative study of open versus closed method of establishment of pneumoperitoneum in laparoscopic surgery

2019 ◽  
Vol 6 (9) ◽  
pp. 3335 ◽  
Author(s):  
Adeesh P. Jain ◽  
Sarav C. Shah ◽  
Purva C. Shah ◽  
Karan R. Patel
Keyword(s):  
Randomised Control Trial ◽  
P Value ◽  
Open Method ◽  
Medical College ◽  
Choice Of Procedure ◽  
Gas Leak ◽  
Significant Difference ◽  
Time Required ◽  
Open Versus ◽  
Method Group

Background: Laparoscopy has overtaken open surgery as the choice of procedure wherever feasible. More than 50% of complications in laparoscopy occur during creation of pneumoperitoneum. In this study, we are comparing open or Hasson's method and closed or vress method of creation of pneumoperitoneum.Methods: This is a prospective comparative parallel randomised control trial conducted at the Department of Surgery, Baroda Medical College and SSG Hospital from November, 2017 to November, 2018. We divided the patients (n=100) into two groups i.e., open method (group O) (n1=50) and closed method (group C) (n2=50) groups using the envelope method of randomisation. We compared the two techniques in terms of time required to complete the procedures and complications (major and minor) associated with creation of pneumoperitoneum.Results: All the patients that participated in this study belonged to the age group of 10-69 years out of which majority were 15-50 years old. In our study, the mean time required to create pneumoperitoneum by closed method (group C) was 9.3 seconds while by open method (group O), it was 7.84 seconds with p value <0.001. There were 15 cases of gas leak from the port side, all recorded in the open method of establishment of pneumoperitoneum.Conclusions: Even though the open method takes less time to create pneumoperitoneum, both methods are similar in terms of time taken to complete the operation and major and minor complications because there was no statistically significant difference in the frequency of these parameters between the two techniques.

scholarly journals Intraperitoneal access by closed method (veress needle) versus open (Hasson’s) method in laparoscopic surgery to create pneumoperitoneum

2017 ◽  
Vol 4 (8) ◽  
pp. 2786 ◽  
Author(s):  
Neet R. Chotai ◽  
B. B. Choksi ◽  
Sushil Damor ◽  
Amul Bhedi
Keyword(s):  
Laparoscopic Surgery ◽  
Port Site ◽  
Surgical Instruments ◽  
Veress Needle ◽  
Microsoft Excel ◽  
Optimal Method ◽  
Open Method ◽  
Medical College ◽  
Gas Leakage ◽  
The One

Background: Access into the abdomen is the one challenge of laparoscopy that is particular to the insertion of surgical instruments through small incisions. In the last three decades, rapid advances in laparoscopic surgery have made it an invaluable part of general surgery, but there remains no clear consensus as an on optimal method of entry into the peritoneal cavity. The objective of this study was to study the comparison and efficacy between closed (veress needle)and open method (Hasson’s) of intraperitoneal access to create pneumoperitoneum in laparoscopic surgeries.Methods: All patients >18 year undergoing laparoscopic procedure at Sir Sayajirao Gaekwad Hospital attached to Medical College Baroda from November 2015 to November 2016, and include 160 patients. This was Prospective study and total 160 cases of Laparoscopic surgery was taken in 1-year period. Methods used to create pneumoperitoneum were of surgeon’s choice in each case. Cases were performed by one method more than other method (63 patients by veress needle and 97 by open method). Student t test (two tailed, independent) had been used to find the significance of study parameters on continuous scale between two groups. All data were entered in Microsoft Excel sheet. Data calculation was done in software - Microsoft Excel and Medcalc statistical software 16.8.4.0.Results: The Mean operative time for access in veress needle group was 5.12 mins as compare to open method where it was 3.94 mins. Port site Gas leakage was slightly more in open method. There were no any major complications occurred in any group. There were minor complications occur in both methods at access like; omental injury, port site gas leakage, extra-peritoneal insufflations, loss of space and entry in wrong plane.Conclusions: For intraperitoneal access in laparoscopy, both the closed and the open methods are safe and the open technique had a time advantage over the closed method.

C14 Incidence of local and port site recurrence after laparoscopic surgery for renal cell carcinoma

2013 ◽  
Vol 12 (4) ◽  
pp. e1122, C14
Author(s):  
D. Rojo García ◽  
A. Prera ◽  
C. Abad ◽  
J. Muñoz ◽  
R. Martos ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Laparoscopic Surgery ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Port Site ◽  
Port Site Recurrence

Open Surgical versus Minimally Invasive in Situ Femorodistal Bypass: Long-term Results

2003 ◽  
Vol 10 (1) ◽  
pp. 117-120 ◽  
Author(s):  
Nomdo S. Renken ◽  
Cees H.A. Wittens ◽  
Peter M.T. Pattynama ◽  
Nico A.J.J. Du Bois ◽  
Lukas C. van Dijk
Keyword(s):  
Minimally Invasive ◽  
Limb Salvage ◽  
Long Term Results ◽  
Open Technique ◽  
Treatment Groups ◽  
Closed Technique ◽  
Open Versus

Purpose: To compare long-term patency and limb survival rates for the classical in situ surgical bypass procedure versus a minimally invasive technique for femorodistal revascularization. Methods: From May 1992 to June 1994, a prospective multicenter study was undertaken at 4 centers to evaluate the open versus closed technique for femorodistal bypass grafting. Of 97 patients enrolled in the trial, 73 patients (49 men; mean age 71 years) were assigned to the long-term follow-up protocol and prospectively randomized to the open (n = 38) or closed (n = 35) procedure. The classical open technique is characterized by a long incision over the length of the bypass graft, while the minimally invasive procedure involves only two short incisions over each anastomosis site (the side branches are closed with a coaxial embolization catheter system). Graft patency was evaluated with duplex imaging periodically throughout the 4-year observation period. Results: There was no statistically significant difference between the treatment groups with respect to age, sex, hypertension, ischemic heart disease, or smoking. However, the open group had a significantly greater incidence of diabetes (p = 0.037). Over a median 4.7-year follow-up (range 0.3–6.4), 9 (12%) patients (3 open and 6 closed) were lost to follow-up: 2 died and 7 refused the duplex examination. No significant differences in 4-year patency, limb salvage, or survival was demonstrated between the open versus closed treatment groups; 4-year secondary patency was 62% versus 64%, respectively, and limb salvage was 72% versus 86%. Conclusions: The closed technique for femorodistal in situ bypass procedures yields favorable long-term outcomes compared to the traditional open technique.

scholarly journals PORT SITE COMPLICATIONS IN LAPAROSCOPIC SURGERY

2016 ◽  
Vol 5 (67) ◽  
pp. 4821-4825
Author(s):  
Surajit Lahiri ◽  
Rajeeva Ranjan
Keyword(s):  
Laparoscopic Surgery ◽  
Port Site

Undifferentiated Carcinoma After Laparoscopic Surgery for a Cystic Ovarian Tumour: A Case Study

2021 ◽  
Vol 1 (5) ◽  
pp. 499-505
Author(s):  
KOSUKE SHIGEMATSU ◽  
KOKI SAMEJIMA ◽  
KEISUKE SAWADA ◽  
TAKAHIRO UOTANI ◽  
TAICHI AKAHORI ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Relevant Literature ◽  
Insertion Site ◽  
Undifferentiated Carcinoma ◽  
Ovarian Tumour ◽  
Port Site ◽  
Histopathological Diagnosis ◽  
Malignant Tumours ◽  
Tumour Metastasis ◽  
Initial Surgery

Background: Laparoscopic surgery for malignant tumours occasionally results in recurrence at the trocar insertion site or port-site metastasis (PSM). We report on a patient requiring emergency laparoscopic surgery for an ovarian tumour with a review of the relevant literature. Case Report: A 42-year-old woman developed sudden abdominal pain and underwent laparoscopic right adnexectomy because of a suspected ovarian cystic tumour rupture. The postoperative histological diagnosis was a mucinous borderline ovarian tumour; however, an undifferentiated carcinoma was detected at the port site eight months after the initial surgery. The histopathological diagnosis of the abdominal wall tumour at the port site differed from intraoperative pathological findings, which was contradictory to PSM definition. Postoperatively, she received three systemic chemotherapy courses but died consequent to tumour metastasis. Conclusion: This is an atypical PSM case with histopathological differences from the initial tumour. Careful preoperative diagnosis and intraoperative attention are essential in such cases.

scholarly journals A Comparison between the Results of Open versus Closed Lateral Internal Sphincterotomy in the Surgical Management of Chronic Anal Fissure

2018 ◽  
Vol 8 (3) ◽  
pp. 235-239
Author(s):  
Md Mahabub ◽  
Md Mahbubur Rahman ◽  
Md Tanvirul Islam ◽  
Selina Sultana
Keyword(s):  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
Lateral Internal Sphincterotomy ◽  
Complication Rates ◽  
Open Technique ◽  
Female Ratio ◽  
Internal Sphincterotomy ◽  
Closed Technique ◽  
Increased Risk ◽  
Open Versus

Background: Lateral internal sphincterotomy is regarded as the gold standard surgical treatment for chronic anal fissure. Some authors reported that the closed technique had lower complication rates than that by the open technique, but others reported that both of the techniques had no meaningful differences in complications.Methods: This was a comparative and cohort study carried out at Department of Colorectal Surgery, Combined Military Hospital (CMH) Dhaka, Bangladesh, from October 2013 to October 2017. Eighty three patients with chronic anal fissure not responding to medical treatment for at least three months were included in this study to compare the results of the open versus closed techniques of lateral internal sphincterotomy after four months follow up postoperatively.Results: The mean age at presentation was 34.15±11.4 years and the male to female ratio was 1.24:1. The results of open and closed techniques were compared regarding per-operative bleeding (35.71% versus 12.19%), post-operative urinary retention (4.76% versus 0%), symptom relief on first post-operative day (76.19% versus 70.73%), significant 1st post-operative day pain in the operated wound (33.33% versus 7.31%), temporary fecal soiling (2.38% versus 0%), temporary flatus incontinence (7.14% versus 0%), and fissure recurrence (0% versus 14.63%) respectively. Temporary incontinence to fecal and flatus recovered by conservative management within two and four months of surgery respectively.Conclusion: The closed technique of lateral internal sphincterotomy had lower post-operative complications, pain, bleeding, and incontinence compared to open technique, but increased risk of fissure recurrence.Birdem Med J 2018; 8(3): 235-239

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