Safety of direct trocar insertion in various gynecological laparoscopic surgeries
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 4
Abstract
Introduction To create pneumoperitoneum is the first step to any successful laparoscopic procedure Various techniques for creation of pneumoperitoneum are traditional veress needle open method visual entry system and direct trocar insertion DTI Despite of rapid increase in the number of laparoscopic surgeries every year there is no clear guideline on the safe method of entry into the abdomenObjective The aim of this study is to evaluate safety and complications of direct trocar insertionMaterials and Methods Retrospective multicenters study of patients who were undergoing various gynecological laparoscopic surgeries All patients were undergoing DTI access method for primary port insertion The study focuses on effectiveness of BMI parity previous surgery for DTI and evaluates complicationsConclusion DTI is safe fast and reliable alternative to primary peritoneal access and creation of pneumoperitoneumKeywords Laparoscopy DTI direct trocar insertion Veress needle Pneumoperitoneum
Authors and Affiliations
Vipul Patel
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