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Abdominal access in gynaecological laparoscopy: a comparison between direct optical and blind closed access by Verres needle
- Source :
- European journal of obstetrics, gynecology, and reproductive biology. 148(2)
- Publication Year :
- 2008
-
Abstract
- Objective : Complications associated with initial abdominal entry are a prime concern for laparoscopic surgeons. In order to minimize first access-related complications in laparoscopy, several techniques and technologies have been introduced in the past years. This investigation compares two laparoscopic access techniques. Study design : 194 women underwent laparoscopic surgery for simple ovarian cysts: 93 were assigned to direct optical access (DOA) abdominal entry (group I), and 101 women to classical closed method by Verres needle, pneumoperitoneum and trocar entry (group II). The following parameters were compared: time required for entry into abdomen, occurrence of vascular and/or bowel injury, blood loss. The results were analyzed using SAS software. p -value Results : No statistically significant differences were observed in the occurrence of blood loss and minor vascular injury between the two techniques, as well as minor bowel injuries; time for of abdominal entry, instead, were significantly reduced in the DOA group. Conclusions : The results of the preliminary comparison between the DOA and the Verres methods, commonly used by gynecologists, suggests that the visual entry system confers a statistical advantage over closed entry technique with Verres needle, in terms of time saving and due to the minor vascular and bowel injuries, thus enabling a safe and expeditious, visually-guided, entry for surgeons.
- Subjects :
- Laparoscopic surgery
Adult
medicine.medical_specialty
medicine.medical_treatment
Young Adult
Gynecologic Surgical Procedures
Pneumoperitoneum
medicine
Humans
Prospective Studies
Laparoscopy
Veress needle
medicine.diagnostic_test
business.industry
Obstetrics and Gynecology
medicine.disease
Surgery
Endoscopy
Ovarian Cysts
medicine.anatomical_structure
Reproductive Medicine
Abdomen
Female
Gynaecological laparoscopy
business
Complication
Subjects
Details
- ISSN :
- 18727654
- Volume :
- 148
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- European journal of obstetrics, gynecology, and reproductive biology
- Accession number :
- edsair.doi.dedup.....18330c19eae93ec5bf388d4debf7b24e