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Laparoscopic Entry Technique: New Approach

Sadashiv V. Patil, Asssociate Professor, St. Johns Institute of Medical Sciences Bengaluru Karnataka 560034, India. , Sadashiv V. Patil1 , Nivedita Mitta2

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Journal of Global Medical Education and Research 1(1):p 14-16, January- June 2018. | DOI:

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Abstract

The establishment of pneumoperitoneum is the first step in laparoscopic surgery. Laparoscopic abdominal surgery requires the creation of successful pneumoperitoneum, as it plays an important role in prevention of complications occurring at the time of entry. Various techniques are used to create pneumoperitonium of which Direct trocar insertion is one procedure. A study was carried out to decrease the trocar insertion time in turn facilitating the decrease in operative time. In this study 36 patients who underwent different laparoscopic surgeries were included, the time taken for the insertion of first trocar was recorded. the time taken in our series was 12±2 (10 to 14) minutes in open method and 7±2 (5 to 9) minutes in Direct (blind) trocar insertion. Thus the time taken for direct trocar insertion was less when compared to open method. The direct trocar insertion described in our series is faster, requiring less rotatory movements and force and is safe.

Keywords: Pneumoperitonium; Veress Needle; Direct Trocar Insertion.

 

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