Direct Trocar Insertion Technique for Initial Access in Morbid Obesity Surgery: Technique and Results

Abstract

All complications related to the direct trocar insertion technique were minor and these complications did not affect the success of surgery. We concluded that the direct trocar technique for initial access in laparoscopic bariatric surgery provides safe and quick entry into the peritoneal cavity.

A method for rapid laparoscopic irrigation

“…2 We report a technique that combines drainage tubes and topical negative pressure (TNP) therapy for early management of MLLs.…”

Y a-t-il des indications et des contre-indications propres à chaque technique (ouverte ou fermée) de réalisation du pneumopéritoine ?

“…Il y avait une plaie de la séreuse du côlon dans cette série [13]. Altun et al ont montré dans une série consécutive de 155 patients obèses morbides que la technique du premier trocart avec système optique intégré sans pneumopéritoine préalable est sûre avec un taux de complications mineures de 3,2 % [14].…”

Laparoscopic Roux-en-Y gastric bypass

“…Direct trocar insertion for morbidly obese patients is still a research topic. [8] Direction of the trocar during insertion is more important for morbidly obese patients. If the trocar is not inserted to the abdominal wall in a 90° angle, the enlarged sub- cutaneous tissue does not let the use of the trocar with multi-directions and can lead to a leak of CO 2 to the subcutaneous tissue resulting in massive subcutaneous emphysema (Figure 2).…”