World Journal of Laparoscopic Surgery

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VOLUME 6 , ISSUE 1 ( January-April, 2013 ) > List of Articles

RESEARCH ARTICLE

Veress Needle: A Safe Technique in Modern Laparoscopic Era

Shailesh Kumar, Shubhendu Bhaduri, Abu Masood Ansari, Suchita Tripathi, Priyadarshi Dikshit

Citation Information : Kumar S, Bhaduri S, Ansari AM, Tripathi S, Dikshit P. Veress Needle: A Safe Technique in Modern Laparoscopic Era. World J Lap Surg 2013; 6 (1):1-5.

DOI: 10.5005/jp-journals-10033-1171

Published Online: 01-04-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

Prospective analytical study to evaluate the Veress needle technique for creating pneumoperitoneum in terms of safety profile.

Materials and methods

A total of 4,014 patients undergoing laparoscopic surgery for different reasons in which Veress needle was the technique to create pneumoperitoneum were included in the study during the period of January 2008 to September 2012.

Results were evaluated by analysing the data through SPSS version 16.

Results

Total 27 patients developed complications in terms of abdominal wall emphysema 12 (44%), omental injury 11 (40.7%), small bowel injury 2 (7.4%) and mesenteric vascular injury 2 (7.4%).

Among these complications majority of patients were having BMI > 30 (78%).

All the complications were managed by simple measures laparoscopically.

Conclusion

Veress needle technique for creating pneumoperitoneum is comparable with open technique, particularly in patients with BMI < 30.

How to cite this article

Kumar S, Bhaduri S, Ansari AM, Tripathi S, Dikshit P. Veress Needle: A Safe Technique in Modern Laparoscopic Era. World J Lap Surg 2013;6(1):1-5.


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  1. Complication of laparoscopy: A prospective multicentre observational study. Br J Obstet Gynaecol 1997;104:595-600.
  2. Complications of laparoscopy: An inquiry about closed versus open-entry technique. Am J Obstet Gynecol 2004;190;634-38.
  3. Needle and trocar injury during laparoscopic surgery in Japan. Surg Endosc 1971;11:1198-201.
  4. Open laparoscopy as a method of access in laparoscopic surgery. Gynaecol Endosc 1999;8:353-62.
  5. Primary access related complications with laparoscopy. Surg Endosc 2005;19:1196-99.
  6. Primary access related complications in laparoscopic cholecystectomy via the closed technique: Experience of a single surgical team over more than 15 years. Surg Endosc 2009;23:2407-15.
  7. Systemic review of the safety and effectiveness of methods used to establish pneumoperitoneum in laparoscopic surgery. Br J Surg 2003;90:668-79.
  8. The European Association for Surgery Clinical Practice Guidelines on the pneumoperitoneum for laparoscopic surgery. Surg Endosc 2002;16:1121-43.
  9. Abdominal access complications in laparoscopic surgery. J Am Coll Surg 2001;192:525-36.
  10. Direct trocar insertion vs Veress needle in nonobese patients undergoing laparoscopic procedures. Surg Endosc 2004;18:1778-81.
  11. Safety in laparoscopy. J Reprod Med 1974;13:1-5.
  12. The role of optical access trocars in laparoscopic surgery. Surg Technol Int 2005;14:61-67.
  13. Experience with optical trocar in performing laparoscopic procedures. Surg Laparosc Endosc Percutan Tech 2002;12:96-99.
  14. Towards evidence based laparoscopic entry techniques: Clinical problems and dilemmas. Gynaecol Endosc 1999;8:315-26.
  15. Three simple steps during closed laparoscopic entry may minimize major injuries. Surg Endosc 2009;23:758-64.
  16. Methods of creating pneumoperitoneum: A review of techniques and complications. Obstet Gynecol Surv 1998;53(3):167-74.
  17. Trocar and Veress needle injuries during laparoscopy. Surg Endosc 2001;15:275-80.
  18. Serious trocar accidents in laparoscopic surgery: A French survey of 103,852 operations. Surg Endosc 1996;6:367-70.
  19. Safe and Rapid laparoscopic access-a new approach. World J Surg 2005;29:800-03.
  20. Open vs closed establishment of pneumoperitoneum in laparoscopic surgery. Br J Surg 1997;84:599-602.
  21. Risk of blind versus open approach to celiotomy for laparoscopic surgery. Surg Laparosc Endosc 1993;3:296-99.
  22. Technique of pneumoperitoneum. Surgical Lap Endosc 1993;3:42-43.
  23. Veress needle related complications in Laparoscopic surgery: Our experience. APMC 2010 Jan-Jun;4(1);72-76.
  24. Complications during set-up procedures for laparoscopy in gynecology: Open laparoscopy does not reduce the risk of major complications. Acta Obstet Gynecol Scand 2003:82:1125-29.
  25. A modified instrument and method for laparoscopy. Am J Obstet Gynecol 1971;110:886-87.
  26. Complete evidence regarding major visceral injuries during laparoscopic access. Surg Laprosc Endosc Tech 2005;5(3):119-23.
  27. Comparison of two entry methods for laparoscopic port entry: Technical point of view. Diagnostic Therapeutic Endosc 2012; Article ID: 305428.
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