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 101
- Downloads 0
Comparative Study of Open & Close Technique of Trocar Insertion for Elective Laparoscopic Cholecystectomy
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 the...
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...
A Case report : Magnetic resonance imaging (MRI), and Magnetic resonance cholangiopancreatography (MRCP) in Diagnosis of Biliary Microhamartomas
Introduction Biliary hamartomas, which are known as von Meyenburg complexes (VMCs), are benign liver malformations. They histologically include cystic dilated bile ducts which are surrounded by numerous fibrous stroma[1,...
A Survey Based Conceptual and Applied Study on the Role of Krama Viruddha Ahara in Genesis of Diseases
Ayurveda has equated human body with a building. As pillars and sub-pillars are required to make the building stable, similarly the need of three pillars (sthunas) and three supporting pillars (upastambhas) have been emp...
Prediction of Malaria Outcome and Its Complication Throught Estimation of Biochemical Marker of Serum Lactate
Introduction: Malaria is a widespread disease in the tropics, including India Plasmodium vivax is the most prevalent species and Plasmodium falciparum is the most virulent one worldwide. Lactate...