Comparative Study of Different Entry Sites in Laparoscopic Surgery: which is Safest??
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
Introduction: Laparoscopic gynecological surgeries have gained popularity due to wide range of benefits. However the complications related to abdominal entry site persists. Major complications are large blood vessel and gastrointestinal tract injury accounting for 50% prior to the commencement of surgery.(1 and 2) The access locations usually are 1.Umbilical point 2.Left upper quadrant or Palmer's point and Jain point .The present study was performed to assess the safety profile of different laparoscopic entry sites in gynaecological surgeries. Design and methodology: Retrospective review,undertaken at a tertiary care referral center from January 2013 to December 2016. Results: In 1324 patients who underwent laparoscopic surgery, the laparoscopic entry site was 1. umbilical point (433 patients) 2. Palmer's point (807 patients) and Jain point (84 patients). Conclusion: The left upper quadrant site ( Palmer’s point ) proved to be one of the safest modes of entry for operative laparoscopy with no significant entry related, intra-operative or postoperative complications. This technique is extremely benefecial in cases of previous surgeries, obese patients and in very thin patients.
Authors and Affiliations
Dr. G S S Mohapatra, Dr. Bharat Bhusan
Keywords
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- EP ID EP590315
- DOI 10.9790/0853-1601086466
- Views 78
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