BACKGROUND AND OBJECTIVES Trocar insertion injury has a high morbidity, mortality, and cost. The purpose of this study was to compare standard trocar entry with our reduced-force closed trocar entry technique by measuring trocar insertion force using a mechanical force gauge. METHODS In the operating room, the force gauge was inserted into a sterile glove and connected to the proximal portion...

BACKGROUND AND OBJECTIVES Trocar-site incisional hernias are the most common complications in laparoscopic surgery. Fascial closure of port sites represents a challenging issue in laparoscopic surgery. METHODS We describe a simple easy technique for fascial closure of port sites using a double-tip needle (Lasheen needle). This study included 100 patients who underwent laparoscopic surgery fro...

Objective: To investigate the safety profile of image-guided drainage using the trocar technique. Methods: The medical records of 93 patients undergoing image-guided drainage procedures using the trocar technique at a local regional hospital from September 2004 to December 2006 were reviewed. Results: There were no incidences of significant neurovascular or adjacent organ damage. Conclusion: In...

BACKGROUND The aim of the study was to describe the technique of two-trocar laparoscopic appendectomy and compare the outcome between two- and three-trocar techniques in children. METHODS All children who underwent laparoscopic surgery for suspected appendicitis from 2006 to 2014 in a center for pediatric surgery were included in the study. Converted surgeries and patients with appendiceal ab...

Trocar site complications continue to plague laparoscopic surgeons. Described in this report is an inexpensive simple technique to close all layers of the trocar site defect.

BACKGROUND The majority of laparoscopic complications occur at the time of Veress needle and trocar insertion. Although not very frequent, they increase the morbidity and mortality of both diagnostic and operative laparoscopic procedures. Alternative techniques of trocar insertion have been described but have not completely eliminated the risk of injury. TECHNIQUE After Veress needle insertio...

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...

conclusions percutaneous ethanol sclerotheraphy in simple cysts is a safe, cost-effective and minimally invasive method. we consider that this technique may be an alternative solution in the percutaneous cyst treatment. results fifty-seven cysts had complete regression, while 31 cysts regressed partially. after the procedure, pain was relieved in 44 (82%) patients and the pain alleviated in fou...

Fifteen patients underwent successful laparoscopic procedures where a new blunt-tipped trocar was used both to gain initial access to and to insufflate the abdominal cavity. The use of this new trocar obviates the need for the use of the Veress needle and appears to be both time-saving and possibly safer. Unlike the Hasson-type trocar, the blunt trocar technique does not require the use of fasc...