Laparoscopy Using a Simplified Open Technique

Perone, Nicola

doi:10.1097/00006254-199303000-00015

Cited by 11 publications

(20 citation statements)

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“…A large Dutch review 6 of 12,444 cases of open laparoscopy culled from 6 previously published case series 4,10–13 found a 0.048% rate of enterotomy and no cases of vascular injury or gas embolism. These rates contrast with an enterotomy rate of 0.083% and vascular injury rate of 0.075% from 489,335 cases of closed laparoscopic entries in this same review.…”

Section: Discussionmentioning

confidence: 99%

184: Open Laparoscopic Access Technique: Review of 8 Years Experience

Long

Magrina

2007

Journal of Minimally Invasive Gynecology

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Section: Discussionmentioning

confidence: 99%

184: Open Laparoscopic Access Technique: Review of 8 Years Experience

Long

Magrina

2007

Journal of Minimally Invasive Gynecology

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“…In a randomized controlled trial, the Hasson technique proved quicker than that using the Veress needle 7 . Perone also demonstrated that his average operating time to achieve entry was a mere 2.5 min in 585 patients without major complication, 29.5% of whom had undergone abdominal surgery prior to laparoscopy 8 . Such results do not support commonly held beliefs amongst gynaecologists.…”

Section: Discussionmentioning

confidence: 91%

Open laparoscopy utilizing either a 5 mm or 10 mm standard intra‐umbilical trocar

2001

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To describe a technique for open entry for laparoscopic procedures, utilizing either a standard 5‐ or 10 mm trocar through an 8‐ or 12 mm intra‐umbilical incision, respectively. Two teaching hospitals. A total of 237 patients. The first 186 patients had a 10‐mm trocar inserted, and the latter 51 patients a 5‐mm trocar entry. The average time required to achieve pneumoperitoneum was 3.5 min with no complications encountered. Gas leakage overall occurred in 4.2% of patients, though in no case was remedial fascial suturing required. There were two cases of wound infection (0.8%), including an infected umbilical haemotoma. All minor complications occurred in the first 20 patients undergoing surgery. Open laparoscopy using this technique is safe, quick, and cosmetically excellent with minimal complications and no major disadvantages. It provides an improved safety margin for vascular injury in comparison to closed peritoneal entry, though it is theoretically capable of causing type II visceral injuries.

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“…8 It has been suggested that a closure of the fascia at the umbilicus in laparoscopic surgery might avoid the possible occurrence of postoperative Richter hernia. 9 Presently, the fascia at 10-mm periumbilical port sites are routinely and specifically closed at most institutes. 6,9 However, it is impossible to close the abdominal fascia after the removal of the intra-abdominal drainage tube without performing anesthesia.…”

Section: Discussionmentioning

confidence: 99%

“…9 Presently, the fascia at 10-mm periumbilical port sites are routinely and specifically closed at most institutes. 6,9 However, it is impossible to close the abdominal fascia after the removal of the intra-abdominal drainage tube without performing anesthesia. The present case illustrates the possible occurrence of a Richter hernia in cases with postoperative intra-abdominal drainage using a large and round suction drain.…”

Section: Discussionmentioning

confidence: 99%

Ileal Perforation Due to a Richter Hernia at the Drain Insertion Site Following an Operation for Idiopathic Rectal Perforation: Report of a Case

et al. 2000

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A case of a Richter hernia at the insertion site of the drainage tube following open abdominal surgery is reported. A 54-year-old man underwent an emergency operation for an idiopathic rectal perforation. A partial resection of the rectum and drainage using four 10-mm (outer diameter) drainage tubes with round cross sections was performed. Despite an uneventful early postoperative course, an emergency reoperation was required for peritonitis due to a bowel perforation 14 days after removing the drain inserted into the rectosacral space. A laparotomy revealed an incarcerated Richter hernia with ileal perforation through the 10-mm drainage site. The postoperative course after a partial resection of the ileum and drainage with Penrose drains was uneventful. This is the first report of a Richter hernia through the insertion site of a drainage tube in abdominal surgery. The possible occurrence of a Richter hernia in cases with postoperative drainage using large-size round drainage tubes should thus be considered in such patients.

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Laparoscopy Using a Simplified Open Technique

Cited by 11 publications

References 0 publications

184: Open Laparoscopic Access Technique: Review of 8 Years Experience

184: Open Laparoscopic Access Technique: Review of 8 Years Experience

Open laparoscopy utilizing either a 5 mm or 10 mm standard intra‐umbilical trocar

Ileal Perforation Due to a Richter Hernia at the Drain Insertion Site Following an Operation for Idiopathic Rectal Perforation: Report of a Case

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