Laparoscopy Without Use of the Veress Needle: Results in a Series of 1,600 Procedures

Mlyncek, M; Truska, Andre J; Garay, J

doi:10.1016/s0025-6196(12)65765-6

Cited by 12 publications

(7 citation statements)

References 3 publications

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“…There were no deaths reported as a consequence of complications in any of the comparative blind access studies29–33, or in any of the case series that utilized direct trocar access alone44–51. As mentioned above, three deaths were reported in two large case series on needle/trocar access37, 42.…”

Section: Resultsmentioning

confidence: 95%

“…Five studies provided information on the comparative safety of the blind access techniques29–33. These were supplemented by poorer sources of information, including eight case series that described direct trocar access on a total of 19 740 gynaecological patients44–51, and nine predominantly gynaecological case series on 83 732 patients subjected to the needle/trocar technique36–43, 53. Three studies on a total of 665 patients provided level II evidence (RCTs)29–31.…”

Section: Resultsmentioning

confidence: 99%

“…Seven direct trocar case series reported that the rate of major complications ranged from 0 to 0·4 per cent44–48, 50, 51. Six case series on needle/trocar access reported major complication rates of 0·1–1·0 per cent36–38, 41–43.…”

Section: Resultsmentioning

confidence: 99%

“…Data from the five comparative studies are presented in Table 4 29–33. Four case series that used direct trocar access had a rate of minor complications ranging from 0 to 3·3 per cent45–47, 51. Two case series on needle/trocar access reported rates of 0·5 per cent38 and 2·6 per cent43.…”

Section: Resultsmentioning

confidence: 99%

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Systematic review of the safety and effectiveness of methods used to establish pneumoperitoneum in laparoscopic surgery

Merlin

Hiller

Maddern

et al. 2003

British Journal of Surgery

147

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Section: Resultsmentioning

confidence: 95%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Systematic review of the safety and effectiveness of methods used to establish pneumoperitoneum in laparoscopic surgery

Merlin

Hiller

Maddern

et al. 2003

British Journal of Surgery

147

View full text Add to dashboard Cite

show abstract

“…If again, the procedure is being performed on the umbilicus, then a reconstruction of the umbilicus would be needed. Moreover, the intraumbilical approach was reported to cause umbilical granuloma or omphalitis (12,13). The only advantage of a long incision is that it enables the operator to take a large and solid specimen.…”

Section: Discussionmentioning

confidence: 99%

Periumbilical Multiport Laparoscopic Appendectomy: A Preliminary Experience Using a Novel Technique

Akkoyun¹,

Sükan²

2013

Ann Colorectal Res

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Background: Single incision laparoscopic surgery (SILS) is especially developed to achieve better cosmetic results. Using the umbilicus for ports access is widely accepted in this approach. Objectives: The aim of this study was to evaluate our initial experience with a new port access technique applied for laparoscopic appendectomy: Periumbilical Multiport Laparoscopic Appendectomy (PUMLA). Patients and Methods: Between January 2011 and March 2013, a total of 14 appendectomies were performed using a new port access technique. Patients were selected randomly. Thirteen of these cases had acute appendicitis, and one patient had familial Mediterranean fever (FMF). During these operations, three separate curvilinear incisions were created in the periumbilical skin folds and ports were placed in these ways. The five millimeter port was used for a zero degree telescope. The other two were used to manipulate the laparoscopic instruments. The appendectomy was performed intracorporeally in six cases; however, in eight cases, the appendix was taken out via a trocar after dissecting the mesoappendix, then the appendectomy was performed extracorporeally. Reconstruction was not needed to the umbilicus as there was no anatomical distortion. Results: Five patients were female, and nine were male. Age range was 5 to 15 years (mean 9.7 years). Operation time was between 20 and 82 minutes (mean 43 minutes). We did not need to convert to standard laparoscopic appendectomy or place an additional port in any of these patients. The average postoperative hospitalization was 14.1 hours (5-33 h). No complications such as wound infection, trocar site hernia, adhesive small-bowel obstruction, or abscess were observed in the early and late postoperative period. Good cosmetic results were obtained after the separate periumbilical curvilinear incision technique. Conclusions: We found that this new port access technique is feasible, safe, and associated with good cosmetic results.

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Trocars and Cannulas

Buote¹

2021

Small Animal Laparoscopy and Thoracoscopy

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Laparoscopy Without Use of the Veress Needle: Results in a Series of 1,600 Procedures

Cited by 12 publications

References 3 publications

Systematic review of the safety and effectiveness of methods used to establish pneumoperitoneum in laparoscopic surgery

Systematic review of the safety and effectiveness of methods used to establish pneumoperitoneum in laparoscopic surgery

Periumbilical Multiport Laparoscopic Appendectomy: A Preliminary Experience Using a Novel Technique

Trocars and Cannulas

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