Comparative Study of Open & Close Technique of Trocar Insertion for Elective Laparoscopic Cholecystectomy
Journal Title: International Journal of Medical Science And Advanced Clinical Research (IJMACR) - Year 2018, Vol 1, Issue 5
Abstract
Introduction: There are mainly two techniques by which first trocar can be inserted. First is the close technique; where a spring loaded verses needle is placed intra abdominally without the aid of direct vision and then trocar is placed blindly after creation of pneumoperitoneum. Second is the open technique where under direct vision a blunt tipped trocar is introduced into the peritoneal cavity Aims and objectives: The aim of our study was to compare the open and close technique of trocar insertion in terms of technique of insertion, patient’s safety, intra operative complications and post-operative complications. Material and Methods: The present study was carried out in surgery department of Jawaharlal Nehru medical college, Bhagalpur. The study was carried out from January 2014 to October 2017. A total of one hundred patients undergoing elective laparoscopic cholecystectomy were included in our study. Case records of patients was recorded in the Performa containing demographic details, size and site of trocar insertion, technique of trocar insertion, intra operative, early post operative and late post operative complications were noted. Results: Out of 100 patients enrolled mean age was 31.67±16.34. Out of 100 patients in the study; 35 (35%) were Male and 65 (65%) were Female. In terms of on table complications; CO2 leakage is more in open technique of trocar insertion. Gastrointestinal injury is more in close method of trocar insertion. In terms of post- operative complications; wound infection was common in open insertion technique. Conclusion: We would prefer the open technique of trocar insertion as a technique of choice in primary trocar insertion as it counts more on patient safety as compared to the close technique.
Authors and Affiliations
Dr. Jai Prakash Sinha
Keywords
Related Articles
- EP ID EP488004
- DOI -
- Views 108
- Downloads 0
Fahr’s Disease with Secondary Hyperparathyroidism
Fahr’s syndrome refers to a rare syndrome which is characterized by symmetrical and bilateral intracranial calcification.1,2 Here we present a case of a 48 year old male patient , who presented to our...
A Cross-Sectional Study to Assess the Association between Major Depression and Inflammatory Markers in Patients with Acute Ischemic Stroke in North East Rajasthan
Increased interest in the relationship between affective disorder and long-term health consequences has generated recent examinations of depression and stroke. Observations suggest that depressive disorder is associated...
Red Blood Cell Indices Along With Hemoglobin and Serum Ferritin Estimation At Internal Correlation In Pregnant Females
Introduction: Anaemias occurring during pregnancy are known to increase maternal and perinatal morbidity and mortality, therefore it would be therapeutically important to be capable of selecting women who are in iron def...
Clinical And Functional Result of Delorme’s Procedure Combined With Post Anal Repair In Full Thickness Rectal Prolapse.
Full thickness Rectal Prolapse was treated with Delorme procedure combined with post anal repair. Sixteen patients (6 male and 10 female) were eligible for study with this procedure at JLMNCH, BHAGALPUR during Aug 2011 t...
Situational Analysis of Sickle Cell Disease in Maharashtra, India
Sickle cell disease (SCD) is the foremost public health apprehension, not only in Maharashtra but also on global stage. Maharashtra, a western state of India, has 96.87 lakh tribal populations and is expected to have at...