DIRECT TROCAR INSERTION IN GYNECOLOGICAL LAPAROSCOPY; A CASE SERIES OF 300 CASES

2021 ◽  
Vol 50 (3) ◽  
pp. 1921-1932
Author(s):  
Mostafa Abd El-Fattah Ahmed Dwedar ◽  
Mohamed Taher Ismail ◽  
Said Mohamed Taha ◽  
Mahmoud Nashaat Khalaf Abd El-Salam
Keyword(s):  
Case Series ◽  
Trocar Insertion ◽  
Gynecological Laparoscopy ◽  
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

Laparoscopic Access: Direct Trocar Insertion Versus Open Technique

2019 ◽  
Vol 29 (4) ◽  
pp. 489-494 ◽  
Author(s):  
Sumesh Kaistha ◽  
Ameet Kumar ◽  
Rajesh Gangavatiker ◽  
Sreejith Br ◽  
Nikhil Sisodiya
Keyword(s):  
Open Technique ◽  
Trocar Insertion ◽  
Direct Trocar Insertion

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

Direct Trocar Insertion with Elevation of the Rectus Sheath in Bariatric Surgery: A Novel Technique

2017 ◽  
Vol 89 (6) ◽  
pp. 23-25
Author(s):  
Mani Habibi ◽  
Hakan Seyit ◽  
Osman Kones ◽  
Bahadir Kartal ◽  
Halil Alis
Keyword(s):  
Bariatric Surgery ◽  
Laparoscopic Surgery ◽  
Rectus Sheath ◽  
Morbidly Obese ◽  
Laparoscopic Bariatric Surgery ◽  
Obese Patients ◽  
Trocar Insertion ◽  
Trocar Placement ◽  
Direct Trocar Insertion ◽  
Almost All

<b>Introduction.</b> Initial trocar entry, the first step in laparoscopic surgery, is associated with several complications. In morbidly obese patients, initial trocar placement is associated with a greater number of complications compared to non-obese patients. <br/><b>Materials and Surgical Technique</b>. In this study, we describe our use of an initial trocar entry technique which is direct trocar insertion with elevation of the rectus sheath by a single Backhaus towel clamp and we would like to evaluate the sa fety and efficacy of its administration in bariatric surgery. <br/><b>Discussion</b>. Our results indicate that gaining initial trocar entry using our technique leads to successful laparoscopic bariatric surgery. Our technique is a safe, effective, and reliable first step in successful laparoscopic surgery for almost all patients, and is only contraindicated in patients with severe hepatomegaly.

2917 A Novel Twist on Direct Trocar Insertion

2019 ◽  
Vol 26 (7) ◽  
pp. S141-S142
Author(s):  
P Katebi Kashi ◽  
CA Hamilton ◽  
JC Elkas ◽  
GS Rose
Keyword(s):  
Trocar Insertion ◽  
Direct Trocar Insertion
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