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Efficacy of Establishment of Pneumoperitoneum with the Veress Needle, Hasson Trocar, and Modified Blunt Trocar (TrocDoc): A Randomized Study
- Source :
- Journal of laparoendoscopic & advanced surgical techniques. Part A, 10(6), 325-330. Mary Ann Liebert Inc.
- Publication Year :
- 2000
- Publisher :
- Mary Ann Liebert Inc, 2000.
-
Abstract
- PURPOSE: To compare three techniques of establishment of pneumoperitoneum for efficacy: the Veress needle/first trocar, the Hasson trocar, and a newly developed modified blunt trocar, the TrocDoc. PATIENTS AND METHODS: Between June and December 1999, 62 patients eligible for laparoscopic surgery were randomized. The effectiveness of installation of the pneumoperitoneum using the three techniques was assessed by time-motion analysis. Primary efficacy measures were total time and number of actions required to establish the pneumoperitoneum. Secondary efficacy measures were procedure-related complications, wound complications, and occurrence of CO2 leakage. RESULTS: Two patients were withdrawn from inclusion. The three groups were comparable for age and body mass index. Total time was shortest using the TrocDoc rather than the Veress needle/first trocar and the Hasson trocar (respectively, 138 +/- 58 v 237 +/- 56 v 350 +/- 103 seconds), and the number of actions was lowest for the Veress needle/first trocar combination: 22 +/- 7 v 32 +/- 12 (TrocDoc) v 53 +/- 17 (Hasson). There was no morbidity related to the installation of pneumoperitoneum nor trocar wound complications. Gas leakage occurred in five of the Hasson introductions. CONCLUSIONS: Establishment of the pneumoperitoneum is more efficient using the TrocDoc compared with the Veress needle/first trocar and the Hasson trocar. The TrocDoc might replace the two alternatives because of its efficacy and open method of introduction
- Subjects :
- Male
Laparoscopic surgery
medicine.medical_specialty
business.industry
medicine.medical_treatment
Equipment Design
Middle Aged
Surgical Instruments
medicine.disease
Surgery
law.invention
Blunt
Randomized controlled trial
Pneumoperitoneum
Needles
law
Anesthesia
medicine
Co2 leakage
Humans
Female
business
Pneumoperitoneum, Artificial
Veress needle
Subjects
Details
- ISSN :
- 15579034 and 10926429
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Journal of Laparoendoscopic & Advanced Surgical Techniques
- Accession number :
- edsair.doi.dedup.....8505a7676607627401bd1f5657e653e1