Direct Trocar Insertion with Elevation of the Rectus Sheath in Bariatric Surgery: A Novel Technique
Journal Title: Polish Journal of Surgery - Year 2017, Vol 89, Issue 6
Abstract
<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.<br/><br/>
Authors and Affiliations
Mani Habibi, Hakan Seyit, Osman Kones, Bahadir Kartal, Halil Alis
Keywords
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