Direct Trocar Insertion for Laparoscopy

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Direct Trocar Insertion for Laparoscopy

BACKGROUND The Veress needle (VN) technique for establishing pneumoperitoneum in laparoscopic surgery is widely used and yet is associated with slow insufflation rates and potentially life-threatening complications. Although these complications have been rarely reported, they represent a major source of morbidity and mortality from laparoscopic procedures and a major reason for conversion to op...

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Laparoscopy: direct trocar insertion without pneumoperitoneum.

This paper examines the technique of directly inserting the laparoscopic trocar without establishing a previous pneumoperitoneum. The technique is carefully described, and a series of 1002 patients in whom it has been used are reported. The advantages of this method are discussed. Use of the Surgiport Disposable Trocar with the shield enhances the safety of this technique. This technique merits...

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Direct Trocar Insertion Technique: an Alternative for Creation of Pneumoperitoneum

OBJECTIVES The direct trocar insertion technique (DTI) for the creation of pneumoperitoneum has been described as an alternative to open and Veress needle (VN) techniques. This study assesses the safety and feasibility of direct trocar insertion without a pre-existing pneumoperitoneum in patients undergoing elective laparoscopic procedures. METHODS From November 2001 to February 2006, we retr...

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Trocar site hernia after laparoscopy, including robotic-assisted laparoscopy.

Laparoscopic procedures have been developed with notable success in recent decades, and all advantages and disadvantages (limitations) of this expanding field have been previously reported. However, a new technique is still an ongoing development, and one of the most important advances in laparoscopic procedures is the introduction of roboticassisted laparoscopy. Trocar site hernias (TSHs) are ...

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The Direct Trocar Technique: An Alternative Approach to Abdominal Entry for Laparoscopy

OBJECTIVE The direct trocar technique is an alternative to Veress needle insertion and open laparoscopy for accessing the abdominal cavity for operative laparoscopy. We review our approach to abdominal entry in 1385 laparoscopies performed between September 1993 and June 2000 by our group at Stanford University Hospital, a tertiary Medical Center. METHODS We performed a retrospective chart re...

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ژورنال

عنوان ژورنال: JSLS : Journal of the Society of Laparoendoscopic Surgeons

سال: 2012

ISSN: 1086-8089,1938-3797

DOI: 10.4293/108680812x13427982376383