Complications as a Result of Entry Techniques for creating Pneumoperitoneum and Recommendations to minimize Them in Laparoscopic Surgery: A Review of Literature

Muzzafar Zaman; Rikki Singal; Aliya Shah; Bhanu Pratap Sharma

doi:10.5005/jp-journals-10033-1268

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Complications as a Result of Entry Techniques for creating Pneumoperitoneum and Recommendations to minimize Them in Laparoscopic Surgery: A Review of Literature

Muzzafar Zaman, Rikki Singal, Aliya Shah, Bhanu Pratap Sharma

Citation Information : Zaman M, Singal R, Shah A, Sharma BP. Complications as a Result of Entry Techniques for creating Pneumoperitoneum and Recommendations to minimize Them in Laparoscopic Surgery: A Review of Literature. World J Lap Surg 2016; 9 (1):38-40.

DOI: 10.5005/jp-journals-10033-1268

Published Online: 01-12-2010

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Abstract

Advantages of Minimal Access Surgery

Minimal access surgery often offers better visualization than conventional surgery, particularly better visualization of the hiatus and deep structures in the pelvis.

Laparoscopic surgery offers dramatic advantages in terms of the quality of life after the operation.

Postoperative pain is less, which decreases postoperative analgesic (narcotic) use and its complications. This also aids in lower respiratory complications.

Smaller wounds are associated with fewer wound complications, less scarring, and better cosmesis.

Laparoscopic procedure results in reduction of postoperative adhesions.

Patients stay in the hospital for a shorter period and recover faster.

Patients are able to return to their normal activities faster (e.g., feeding, school, office).

Disadvantages of Minimal Access Surgery

Operating time is longer.

The complication rate is higher during the learning curve of the procedure.

Loss of tactile sensation occurs.

With current technology, the video camera can provide only a two-dimensional image, although three-dimensional views are becoming available.

Controlling bleeding laparoscopically is difficult.

The number of instruments and angles in which they can be applied are limited. Robotic applications using wrist technology is improving this problem.

Numerous new techniques, technologies, and guidelines have been introduced to eliminate/decrease the risks associated with entry techniques in laparoscopy.¹ The two major entry techniques widely carried out include the closed technique (Veress) and open technique (Hasson). The other techniques employed include use of direct trocar insertion, use of disposable shielded trocars, radially expanding trocars, and visual entry systems. No single method or equipment has been proven to eliminate laparoscopic entry-associated injury.

Materials and methods

A systematic electronic search was conducted and various articles were studied and reviewed and this review article was prepared.

How to cite this article

Zaman M, Mishra RK, Singal R, Shah A, Sharma BP. Complications as a Result of Entry Techniques for creating Pneumoperitoneum and Recommendations to minimize Them in Laparoscopic Surgery: A Review of Literature. World J Lap Surg 2016;9(1):38-40.

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