World Journal of Laparoscopic Surgery

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VOLUME 6 , ISSUE 3 ( September-December, 2013 ) > List of Articles

RESEARCH ARTICLE

Our Experience of Open Technique of Creating Pneumoperitoneum through Umbilical Cicatrix from a Remote Health Facility at Nepal

Aswini Kumar Misro, Prakash Sapkota, Radhika Misro

Citation Information : Misro AK, Sapkota P, Misro R. Our Experience of Open Technique of Creating Pneumoperitoneum through Umbilical Cicatrix from a Remote Health Facility at Nepal. World J Lap Surg 2013; 6 (3):141-143.

DOI: 10.5005/jp-journals-10033-1201

Published Online: 00-12-2013

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


Abstract

Background

Two methods have been used for peritoneal access to create pnemoperitoneum–the open and the closed technique. We are describing here an open technique of creating pneumoperitoneum through the umbilical cicatrix. We have been using this technique routinely in view of its safety, rapidity and technical ease.

Materials and methods

This method was used in 156 patients serially to create pneumoperitoneum. Patients were followed at 10 days, 3 months and 1 year interval.

Results

The time range was 22 to 540 seconds. The mean time taken was 85 seconds. More than 70% of the patients (n = 110) fell in the range of 22 to 80 seconds where as 36 were in the range of 80 to 100 seconds. Ten patients had the range of 100 to 540 seconds. There were no incidences of vessel or viscus injury even in reoperative cases. There were no cases of any major bleeding or hematoma. Two cases had wound infection which subsided with antibiotic and wound drainage. Out of 42 patients who have completed 3 months follow-up and 11 patients who have completed 1 year followup, none showed any port site hernia.

Conclusion

The open technique of creating pneumoperitoneum through the umbilical cicatrix is a safe and rapid technique.

How to cite this article

Misro AK, Sapkota P, Misro R. Our Experience of Open Technique of Creating Pneumoperitoneum through Umbilical Cicatrix from a Remote Health Facility at Nepal. World J Lap Surg 2013;6(3):141-143.


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  1. Systematic review of the safety and effectiveness of methods used to establish pneumoperitoneum in laparoscopic surgery. Br J Surg 2003;90:668-679.
  2. Laparoscopic entry techniques. Cochrane Database Syst Rev 2008 Apr 16;(2):CD006583.
  3. Use of the Hasson technique for creating pneumoperitoneum in laparoscopic surgery, Ginekol Pol 2004 Jan;75(1):35-38.
  4. Laparoscopic entry: a review of techniques, technologies, and complications. J Obstet Gynaecol Can 2007 May;29(5):433-465.
  5. Ballon blunt-tip trocar for laparoscopic cholecystectomy: improvement over the traditional Hasson and Veress needle methods. J Laparoendosc Adv Surg Tech 2001;11:73-78.
  6. Direct trocar insertion vs Veress needle use for laparoscopic sterilization. J Reprod Med 1990;35:891-894.
  7. Surg Laparosc Endosc 1998;8:353-355.
  8. An open access technique to create pneumoperitoneum in laparoscopic surgery. Scandinavian J Surg 2007;96:297-300.
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