Safe Veress needle insertion.
J Hepatobiliary Pancreat Surg
; 13(3): 225-7, 2006.
Article
en En
| MEDLINE
| ID: mdl-16708299
ABSTRACT
BACKGROUND/PURPOSE:
For laparoscopic surgery, the creation of pneumoperitoneum still remains a must. The insertion of a Veress needle or a trocar is never perfectly safe, and almost every kind of intraabdominal organ injury due to these insertions has been reported worldwide. Here, we describe a safe technique for creating pneumoperitoneum.METHODS:
For the creation of pneumoperitoneum, under direct vision, the linea alba was elevated with two towel clips and then the Veress needle was inserted. We reviewed 368 patients operated on with this technique for complication rates. Ultrasound images were obtained before and during abdominal-wall lifting in 10 patients.RESULTS:
There were no injuries due to the insertion of the Veress needle or trocars. In 90% of the patients, pneumoperitoneum was created successfully on the first attempt. Ultrasound examination demonstrated a mean extra safe area of 11.8 mm during abdominal-wall lifting with this technique.CONCLUSIONS:
Elevating the linea alba during Veress-needle insertion is safe.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neumoperitoneo Artificial
/
Laparoscopía
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
Idioma:
En
Revista:
J Hepatobiliary Pancreat Surg
Asunto de la revista:
GASTROENTEROLOGIA
Año:
2006
Tipo del documento:
Article
País de afiliación:
Turquía