The All-Seeing Needle Instead of the Veress Needle in Pediatric Urologic Laparoscopy

Sılay, Mesrur Selçuk; Tepeler, Abdülkadir; Sancaktutar, Ahmet Ali; Kilincaslan, Huseyin; Altay, Bülent; Erdem, Mehmet Remzi; Hatipoğlu, Namık Kemal; Akçay, Muzaffer; Akman, Tolga; Armağan, Abdullah

doi:10.1089/end.2013.0054

Cited by 8 publications

(2 citation statements)

References 17 publications

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“…A variety of tools have been developed to make safe initial entrance possible, including the Veress needle, visual bladeless cannula, reusable, threaded, disposable optical trocar, and microoptical system [13][14][15] . The aim of the Cannula procedure is to facilitate quick & simple initial abdominal entry through a tiny incision and to decrease problems associated to the track (e.g.…”

Section: Discussionmentioning

confidence: 99%

The Generation of Pneumoperitonium by DCI Technique

Qaiser¹,

Gondal²,

Tariq³

et al. 2022

PJMHS

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Background: The safe and effective insertion of a primary port is the first and most crucial & risky of a laparoscopy. Open laparoscopy, optical trocar insertion, direct trocar insertion (DTI) and direct cannula insertion ot traditional technique of insufflation following Veress needle (VN) insertion via the umbilicus. Aim: To assess the safety of DCI technique to generate the pneumoperitonium in our set up. Methodology: This prospective study was conducted at AIMEC sheikhupura from Feb.2019 to Feb.2020. All the150 patients with symptomatic gall bladder disease were admitted. All consecutive patients who underwent successful LC under the care of a single consultant. GA was used to operate in every case. After painting and draping, a 10 mm infra umbilical incision was made. With the use of towel clips, the anterior abdominal wall was raised, and a direct cannula was inserted into the abdominal cavity. All the LC was performed with four-port technique. Three doses of second-generation cephalosporin were administered in every case. Data was entered and analyzed in SPSS. Result: Total 150 patients were included. There were 30(20%) male and 130(80%) female. The mean age was 42.5±12.2 years. Out of 150(100%) patients 18(12%) were having acute gallbladder disease while rest 132(88%) were chronic cases. Most of the operated patients 81(54%) were discharged at 48 hours, 45(30%) at 24hours while rest of the patients stayed longer, including 15(10%) stayed for 72 hours,9(6%) for 96hours and one of the patients who was converted to open procedure for an accessory duct stayed for 7 days. Conclusion: The conclusion of the study that DCI technique to generate pneumoperitonium for laparoscopic procedures remains safe and rapid technique. Keywords: Laparoscopic surgery, DCI technique, pneumoperitonium, gall bladder disease

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Section: Discussionmentioning

confidence: 99%

The Generation of Pneumoperitonium by DCI Technique

Qaiser¹,

Gondal²,

Tariq³

et al. 2022

PJMHS

View full text Add to dashboard Cite

show abstract

“…Closed laparoscopy can be used safely, and many pediatric surgeons feel comfortable with open access [ 2 , 9 , 10 ]. Surgeon experience and case volume appear to play a major role in preventing complications with closed Veress needle or open access [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Transumbilical cord access (TUCA) for laparoscopy in infants and children: simple, safe and fast

2015

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PurposeWe herein report a case series evaluating the safety and complication rate of transumbilical cord access (TUCA) for pediatric laparoscopic surgery.MethodsData were collected for 556 infants and children. Access into the abdominal cavity was gained via a transverse infraumbilical stab incision passing the fibrotic umbilical cord remnant. Ninety-two infants underwent laparoscopic pyloromyotomy (LPM), 159 female infants underwent herniorrhaphy (LHR) and 309 infants underwent appendectomy (LAP). Of the total operations, 70 % were performed by board-certified surgeons and 30 % were performed by non-board-certified surgeons. The median time of follow-up was 24 months.ResultsNo cases of acute severe bleeding or organ laceration were noted. TUCA-related complications were observed in nine patients (1.6 %). Omphalitis and persistent wound secretion were detected in eight children and foreign bodies consisting of cyanoacrylate were removed from three of these patients. Meanwhile, umbilical pain leading to surgical revision was observed in one child, and eight umbilical hernias were repaired during the TUCA procedures. No signs of postoperative incisional hernia were recorded.ConclusionsTUCA is a safe and comfortable access method for pediatric laparoscopic surgery in various age groups. This method is easy to learn and can be quickly and safely performed in the vast majority of children.

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A negative pressure–based visualization technique for abdominal Veress needle insertion

Onoda

Sato

Torii

et al. 2022

Langenbecks Arch Surg

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The All-Seeing Needle Instead of the Veress Needle in Pediatric Urologic Laparoscopy

Abstract: The all-seeing needle appears to be beneficial in safe entry and for creating pneumoperitoneum in laparoscopic pediatric urology cases. It eliminates the disadvantages of the Veress needle, which is blunt insertion, and may possibly prevent complications.

Cited by 8 publications

References 17 publications

The Generation of Pneumoperitonium by DCI Technique

The Generation of Pneumoperitonium by DCI Technique

Transumbilical cord access (TUCA) for laparoscopy in infants and children: simple, safe and fast

A negative pressure–based visualization technique for abdominal Veress needle insertion

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