Laparoscopic Entry Techniques

Abstract

On the basis of evidence investigated in this review, there appears to be no evidence of benefit in terms of safety of one technique over another. However, the included studies are small and cannot be used to confirm safety of any particular technique.

Direct Trocar Insertion in Gynecological Laparoscopy; A Case Series of 300 Cases

“…Also the mean of preoperative hemoglobin was 10.48 g/dL while postoperative hemoglobin was 9.95 g/dL and Blood loss within 24 hours was 306 cc. these results similar to the results of (Ahmed &Girbash, 2020 andShatta et al, 2015…”

Direct Trocar Insertion in Gynecological Laparoscopy; A Case Series of 300 Cases

“…Also the mean of preoperative hemoglobin was 10.48 g/dL while postoperative hemoglobin was 9.95 g/dL and Blood loss within 24 hours was 306 cc. these results similar to the results of (Ahmed &Girbash, 2020 andShatta et al, 2015…”

A Randomized Controlled Trial Comparing Laparoscopic Access with the DTI and VNI

“…In the study of Agresta et al, no major complication was reported due to direct trocar access, whereas a high rate of (1.3%) complications was reported in the Veress group. This finding was also supported in two Cochrane meta-analyses performed by Ahmad et al [10] However, in the same analysis, it was stated that tens of thousands of study patients are required for randomized controlled studies to make an accurate interpretation because of the rare occurrence of major complications. In 134,917 Veress needle and 16,739 direct trocar entries reported in a meta-analysis of total of 51 studies (incl.…”

The Safety of Direct Trocar Versus Veress Needle for Laparoscopic Entry: A Meta-Analysis of Randomized Clinical Trials

“…Multiple blind insertions and air insufflations certainly carry the risk of complications. The DTI technique was introduced as a safe alternative to the Veress needle entry technique to reduce Veress needle-related complications, which has been suggested by previous studies 9,36 along with several meta-analyses of randomized studies, 18,19 including the current report.…”

Direct Trocar Insertion in Gynecological Laparoscopy; A Case Series of 300 Cases

“…Also the mean of preoperative hemoglobin was 10.48 g/dL while postoperative hemoglobin was 9.95 g/dL and Blood loss within 24 hours was 306 cc. these results similar to the results of (Ahmed &Girbash, 2020 andShatta et al, 2015…”

A Randomized Controlled Trial Comparing Laparoscopic Access with the DTI and VNI

“…In the study of Agresta et al, no major complication was reported due to direct trocar access, whereas a high rate of (1.3%) complications was reported in the Veress group. This finding was also supported in two Cochrane meta-analyses performed by Ahmad et al [10] However, in the same analysis, it was stated that tens of thousands of study patients are required for randomized controlled studies to make an accurate interpretation because of the rare occurrence of major complications. In 134,917 Veress needle and 16,739 direct trocar entries reported in a meta-analysis of total of 51 studies (incl.…”

The Safety of Direct Trocar Versus Veress Needle for Laparoscopic Entry: A Meta-Analysis of Randomized Clinical Trials

“…Multiple blind insertions and air insufflations certainly carry the risk of complications. The DTI technique was introduced as a safe alternative to the Veress needle entry technique to reduce Veress needle-related complications, which has been suggested by previous studies 9,36 along with several meta-analyses of randomized studies, 18,19 including the current report.…”

Direct Trocar Insertion in Gynecological Laparoscopy; A Case Series of 300 Cases

“…Also the mean of preoperative hemoglobin was 10.48 g/dL while postoperative hemoglobin was 9.95 g/dL and Blood loss within 24 hours was 306 cc. these results similar to the results of (Ahmed &Girbash, 2020 andShatta et al, 2015…”

A Randomized Controlled Trial Comparing Laparoscopic Access with the DTI and VNI

“…In the study of Agresta et al, no major complication was reported due to direct trocar access, whereas a high rate of (1.3%) complications was reported in the Veress group. This finding was also supported in two Cochrane meta-analyses performed by Ahmad et al [10] However, in the same analysis, it was stated that tens of thousands of study patients are required for randomized controlled studies to make an accurate interpretation because of the rare occurrence of major complications. In 134,917 Veress needle and 16,739 direct trocar entries reported in a meta-analysis of total of 51 studies (incl.…”

The Safety of Direct Trocar Versus Veress Needle for Laparoscopic Entry: A Meta-Analysis of Randomized Clinical Trials

“…Multiple blind insertions and air insufflations certainly carry the risk of complications. The DTI technique was introduced as a safe alternative to the Veress needle entry technique to reduce Veress needle-related complications, which has been suggested by previous studies 9,36 along with several meta-analyses of randomized studies, 18,19 including the current report.…”