The pressure profile test is more sensitive and specific than Palmer's test in predicting correct placement of the Veress needle

Yoong, Wai; Saxena, Shika; Mittal, Monica; Stavroulis, A.; Ogbodo, Elisha; Damodaram, Mellisa

doi:10.1016/j.ejogrb.2010.06.007

Cited by 11 publications

(12 citation statements)

References 16 publications

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“…Our result corresponds with the results of the studies done by Yoong et al 14 in which pressure profile test was found to be more sensitive than Palmer's test across different range of BMI.…”

Section: International Journal Of Medical and Biomedical Studies (Ijmbs)supporting

confidence: 92%

Comparative Study of Pressure Profile Test Versus Palmer’s Test in Predicting Correct Intra-Peritoneal Placement of Veress Needle Prior to Insufflation During Laparoscopic Surgeries

Divya¹,

Rajput²

2020

IJMBS

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Background: Laparoscopy is an important and common method of accessing the peritoneal cavity to perform many types of gynaecologic surgery. Clearly safety of entry is of the utmost importance and despite debate regarding the preferred method of achieving peritoneal access; there is no single technique with demonstrated superiority. Methods: All consecutive patients who had a legitimate indication and declared fit to undergo a laparoscopic operation in the Department of Obstetrics and Gynaecology, K D Medical College, Hospital & Research Center; Mathura (UP) underwent a prospective observational study. There were no exclusion criteria. Results- In normal weight category sensitivity, specificity, PPV, NPV, were 0.99, 1, 1and 0.75 respectively. In overweight category sensitivity and PPV were 1, and 0.97 respectively. In obese category sensitivity, PPV, were 1and 1 respectively Conclusion: So we can see that pressure profile test shows higher sensitivity and PPV across all grades of surgeons as well as higher specificity and NPV. Keywords: Sensitivity, specificity, overweight.

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Section: International Journal Of Medical and Biomedical Studies (Ijmbs)supporting

confidence: 92%

Comparative Study of Pressure Profile Test Versus Palmer’s Test in Predicting Correct Intra-Peritoneal Placement of Veress Needle Prior to Insufflation During Laparoscopic Surgeries

Divya¹,

Rajput²

2020

IJMBS

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“…Les résultats de cette étude sont confirmés par Yoong qui, sur une étude prospective de 100 malades, confirme que le test avec des pressions est le test le plus sensible, d'autant plus sensible qu'il est réalisé par les chirurgiens juniors. Cela démontre bien qu'une formation des plus jeunes est le principal élément protecteur des plaies induites par la mise en place d'un trocart [22]. Dans cette étude, la pression était jugée correcte (autorisant l'insufflation si elle était inférieure à 10 mmHg).…”

Section: Faut-il Réaliser Des Tests De Sécurité Pour Vérifier Le Bon unclassified

Quelle est la technique de référence pour la méthode fermée ? Valeur des tests de sécurité

Ouaïssi

Pierre

Collinet

et al. 2012

Journal de Chirurgie Viscérale

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“…These findings are supported by the fact that, despite the implementing of these tools in the clinical routine, serious complications occur. Especially in women with previous open abdominal surgery, the pressure profile test is more specific and sensitive than the Palmer's test [39]. However, performing the Palmer's test is still recommended because of its value in warning the surgeon if any blood or feces is aspirated.…”

Section: Additional Considerations With the Veress Needle Entrymentioning

confidence: 99%

“…The following tests that attempt to determine the correct intra-abdominal placement of the Veress needle have been described: the double click sound of the Veress needle; the Palmer's test (aspiration test); the hanging drop of saline test [33]; the "hiss" sound test [34]; the syringe test [35][36][37][38]; and the pressure profile test, of which the first five pressures registered by the gas insufflator are recorded at 5-s intervals and pressures less than 10 mmHg are assumed to indicate correct intraperitoneal placement [17,39]. A prospective analysis demonstrated that the double click, aspiration, and hanging drop tests provided very little useful information about the placement of the Veress needle [40].…”

Section: Additional Considerations With the Veress Needle Entrymentioning

confidence: 99%

Entry techniques in gynecologic laparoscopy—a review

et al. 2011

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Laparoscopy is one of the most common surgical procedures in gynecologic medicine. Major complications associated with gynecologic laparoscopy are relatively rare, with up to 50% related to laparoscopic entry. Several entry techniques have been developed, all of which aim to provide a safe and easy entry to the abdominal cavity. In this article, we aim to review the available evidence on laparoscopic entry techniques in gynecologic surgery. We found no evidence that the Hasson (open) technique is superior to the Veress needle entry, the preferred method of most gynecologists all over the world. When entering the abdomen using the Veress needle, an intraperitoneal pressure <10 mmHg is a reliable predictor of correct intraperitoneal placement. Entry at Palmer's point (left upper quadrant laparoscopy) is recommended for patients with suspected or known periumbilical adhesions, or a history or presence of umbilical hernia, or after three failed insufflation attempts at the umbilicus. Recently published trials suggest that direct trocar entry, especially when using optical trocar systems, might be superior to both the Hasson open technique and the Veress needle entry to avoid extraperitoneal insufflation and failed entry. Moreover, blood loss can be reduced and the mean entry time shortened. Laparoscopic entry techniques are still a controversial topic in gynecologic surgery. Many studies are underpowered in order to assess the risk for rare but lifethreatening complications. In conclusion, there is no solid evidence proving the superiority of any method of laparoscopic entry.

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The pressure profile test is more sensitive and specific than Palmer's test in predicting correct placement of the Veress needle

Cited by 11 publications

References 16 publications

Comparative Study of Pressure Profile Test Versus Palmer’s Test in Predicting Correct Intra-Peritoneal Placement of Veress Needle Prior to Insufflation During Laparoscopic Surgeries

Comparative Study of Pressure Profile Test Versus Palmer’s Test in Predicting Correct Intra-Peritoneal Placement of Veress Needle Prior to Insufflation During Laparoscopic Surgeries

Quelle est la technique de référence pour la méthode fermée ? Valeur des tests de sécurité

Entry techniques in gynecologic laparoscopy—a review

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