Comparing Two Techniques for Laparoscopic Surgery Entry
Author Information
Author(s): Muacevic Alexander, Adler John R, Syed Izna Najam, Syed Noem Najam, Naseem Rabail, Singh-Ranger Deepak
Primary Institution: The Royal Wolverhampton NHS Trust
Hypothesis
This study aimed at determining the safety index of the two techniques of establishing pneumoperitoneum in laparoscopic and robotic surgeries by evaluating the risk of injuries associated with Veress and Hasson's techniques.
Conclusion
Our study found that the Veress technique is as safe as Hasson's open port placement technique for establishing pneumoperitoneum in laparoscopic and robotic surgeries.
Supporting Evidence
- 74% of emergency cases used Hasson's technique, while 26% used Veress.
- 77% of elective procedures employed Hasson's technique.
- No major injuries were reported with either technique.
- Minor injuries were rare, with only one case of hematoma in the Veress group.
- No perioperative mortality was observed.
- Both techniques showed comparable safety indices.
Takeaway
Doctors can use either the Hasson or Veress technique to start laparoscopic surgery safely, just like choosing between two ways to enter a room.
Methodology
This is a retrospective cohort study evaluating the incidence of primary port placement injuries using Hasson's open trocar technique and Veress needle technique in 200 laparoscopic and robotic cases over a three-month period.
Potential Biases
The study was conducted at a single institution, which may limit the generalisability of the findings.
Limitations
The study's retrospective methodology, possible selection bias, and the brief three-month evaluation period may have impacted its generalisability.
Participant Demographics
Patients aged 17 to 95 years, with a mean age of 46.47, and a majority being female.
Statistical Information
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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