Latif’s point: <scp>A</scp> new point for <scp>V</scp>eress needle insertion for pneumoperitoneum in difficult laparoscopy

Ellatif, Mohamed E. Abd; Ghnnam, Wagih; Abbas, Ashraf; Basheer, Magdy; Dawoud, Ibrahim; Ellaithy, Ramadan

doi:10.1111/ases.12418

Cited by 5 publications

(4 citation statements)

References 15 publications

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“…Selection of right lumbar region access was successful and safe if compared with left sided access points like Palmar 9 or Jain 10 points. Moreover, it was advantageous over risky upper abdominal access points like Latif 11 or Lee-Huang 12 points. Under-vision laparoscopic dissection of the mass using the advantage of vessel sealing character of the bipolar tool of Ligasure was a clear valuable surgical step that released the mass from the peritoneum and the fascia to be easily excision trancutaneously.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive management of umbilical endometriosis using a unique laparoscopic entry portal (Darwish point) and postoperative dienogest

Darwish,

Fathi

et al. 2023

Journal of Endometriosis and Pelvic Pain Disorders

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Umbilical endometriosis, although relatively rare, has been described with plenty of case reports and case series available in the literature. Surgical excision has been the preferred mode of treatment, with or without excision of the umbilicus. Few cases described laparoscopically assisted excision but lacked descriptions of a safe alternative non-umbilical laparoscopy entry portal, management of possible concomitant intraperitoneal lesions, and aesthetic umbilicus repair. The aim of this work is to describe a modified technique of laparoscopically assisted excision of umbilical endometriosis and treat concomitant intraperitoneal lesions via a new laparoscopic entry portal with aesthetic preservation of the umbilicus. Successful complete excision of the mass with aesthetic preservation of the umbilicus followed by 3 months of Dienogest therapy resulted in complete resolution of the mass. It is concluded that utilizing “Darwish point” for abdominal access to excise umbilical endometriosis and treat concomitant intraabdominal lesions, offers smart abdominal access with aesthetic umbilicus repair. Moreover, postoperative hormonal treatment (Dienogest) is helpful to ensure a better cure.

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Section: Discussionmentioning

confidence: 99%

Comprehensive management of umbilical endometriosis using a unique laparoscopic entry portal (Darwish point) and postoperative dienogest

Darwish,

Fathi

et al. 2023

Journal of Endometriosis and Pelvic Pain Disorders

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“…Several reports recorded bowel injuries as a complication of Hasson open laparoscopic entry technique. 16 Latif point was suggested by Latif et al 17 as a safe entry point for patients with previous abdominal operations at the right angle between the xiphoid cartilage and the right costal margin. Yet it is sometimes difficult to insert the Veress needle through it, and in patients with a tight angle, it is difficult to use for inserting an optical trocar.…”

Section: Discussionmentioning

confidence: 99%

A New Laparoscopic Entry Point in Patients With Previous Laparotomy: A Prospective Comparative Study

Elbanna¹,

Helmy²,

Sabry³

et al. 2022

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Introduction: Intraperitoneal access and establishing pneumoperitoneum for laparoscopy is a critical step especially in patients who underwent previous laparotomy due to the higher risk of visceral or vascular injuries. In this study, we propose a new entry point for safe laparoscopic access in cases having previous laparotomy. Materials and Methods: This is a prospective controlled randomized trial conducted between January 2016 and January 2022 in Ain Shams University Hospitals. It included 232 patients who underwent laparoscopic procedures after previous laparotomy. They were randomly divided into 2 equal groups. In group 1, laparoscopic access was carried out by an optical trocar through the new point situated in the subxiphoid region 1 cm below the costal margin and centered 2.5 cm from the midline on either side. In group 2, laparoscopic access was performed by an optical subumbilical trocar after Verres needle insufflation in Palmer point. The primary end points were success and safety of entry, measured by the number of entry attempts and the incidence of bowel and vascular injuries. The secondary end point was the entry time. Results: In group 1, safe entry into the abdomen was achieved without visceral or vascular injury. In the 3 cases, minor liver injuries occurred. In group 2, 2 major vascular injuries and 5 bowel injuries occurred. There was a significant difference in procedure time (55±7.2 s in group 1 vs. 192±11.6 s in group 2). Conclusion: The suggested entry point is fast, safe, and reliable in patients having previous laparotomy.

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“…Other methods to optimize abdominal entry while avoiding injury have been posited, including, but are not limited to: (Right upper quadrant) Insertion of the Veress needle at Latif’s point, between the xiphoid process and the right costal margin with the needle directed towards the patient’s right axilla. 11 Use of this new entry point was compared with use of Palmer’s point, showing that both the mean pneumoperitoneum time and mean number of needle punctures was lower in the Latif’s point group. The percentage of successful needle entry on a first attempt was greater in the Latif’s point group and the number of overall complications was also lower.…”

Section: Discussionmentioning

confidence: 99%

Renal Hilum Injury with Veress Needle

Nassar¹,

Shu

Stevens

et al. 2022

CRSLS

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Latif’s point: A new point for Veress needle insertion for pneumoperitoneum in difficult laparoscopy

Abstract: This new access point may represent a safe, fast, and easy way to create pneumoperitoneum, as well as a promising alternative to Palmer's point in patients who are not candidates for classic midline entry.

Cited by 5 publications

References 15 publications

Comprehensive management of umbilical endometriosis using a unique laparoscopic entry portal (Darwish point) and postoperative dienogest

Comprehensive management of umbilical endometriosis using a unique laparoscopic entry portal (Darwish point) and postoperative dienogest

A New Laparoscopic Entry Point in Patients With Previous Laparotomy: A Prospective Comparative Study

Renal Hilum Injury with Veress Needle

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