Modified Hasson technique versus Veress technique: a comparative study

Abstract

Background: There are two techniques of port placement for laparoscopy, Veress and Hasson. Both have their own advantages of disadvantages. Plenty of new modifications of these techniques have been tried to reduce the risks. We modified Hasson’s technique and evaluated whether the technique is better than the standard Veress technique.Methods: A retrospective analysis was carried out in the Department of General Surgery, Al Azhar Medical College Hospital, India from January 2013 to December 2018.Results: There were 156 patients in group A who underwent laparoscopy by Modified Hasson technique. The Veress technique was used in 149 patients who belonged to group B. There was no difference between the two groups in terms of age and indications for the surgery. The entry time (the time to place the first port) for group A was significantly lesser than that of group B (2.08±0.65 min vs. 4.59±0.53 min; p=0.000). There were a total of two complications in group A which was significantly lesser than that of group B (14; p=0.002). There was no significant difference between the two groups in terms of extraperitoneal port placement, intraperitoneal injury, failure to enter the abdomen, port site seroma, port site infection, port site hematoma, and mortality. But, port site hematoma was significantly lesser in group A compared to group B (0 vs. 5; p=0.027).Conclusions: Modified Hasson’s entry was found to be much better than Veress needle entry due to its simplicity for beginners in laparoscopy, lesser time of achieving pneumoperitoneum and lesser duration of surgery in our study.

Preoperative Age and Its Impact on Long-Term Renal Functional Decline after Robotic-Assisted Partial Nephrectomy: Insights from a Tertiary Referral Center

“…Patients were positioned at a 60-degree angle opposite to the side being operated on. An incision of 1 cm was made on the pararectal line, and access to the peritoneum was obtained according to Hasson’s technique [ 35 ]. Pneumoperitoneum was obtained by injecting CO 2 gas until the pressure reached 14 mmHg.…”

Clinical and surgical approach to umbilical disorders in calves - literature review

“…These can be placed in the ventral part of the abdomen or paralumbar fossa with two or three suitably triangulated access portals (Figure 5A) (Milovancev & Townsend, 2015;Monteiro et al, 2021). At the discretion of the surgical team, pneumoperitoneum can be created using a Veress needle, either prior to the insertion of the first trocar or just after the trocar is directly inserted (George et al, 2019;Abass et al, 2020). This direct trocar insertion procedure is similar to that of Kaistha et al (2019).…”

Comparison of Two Entry Methods and Their Cosmetic Outcomes in Creating Pneumoperitoneum: A Prospective Observational Study

“…In this study, to know such procedural cosmetic outcomes of two such main surgical techniques that are widely used in achieving better pneumoperitoneum, HT and VNT were studied and discussed in detail. 1,[3][4][5][6][7]9,11,14,[18][19][20][21] We have also compared and evaluated the cosmetic outcome of primary port insertion at the umbilicus in both the techniques.…”