Direct Trocar Insertion without Previous Pneumoperitoneum in Laparoscopic Gynecological Surgery

Atef F Shatta1 and Ehab F Girbash2*

1Department of Obstetrics and Gynecology, Mataria Teaching Hospital, Egypt
2Department of Obstetrics and Gynecology, Zagazig University, Egypt

^*Correspondance to: Ehab F Girbash 

 PDF  Full Text DOI: 10.25107/2474-1647.2765

Abstract

Introduction: Laparoscopy is a diagnostic and surgical procedure used in all surgical disciplines. As a minimally invasive procedure, it has many advantages for patients, health care systems, and society. Aim: To evaluate the patients who will undergo a Direct Trocar Insertion (DTI) for laparoscopy, focusing attention on feasibility, safety, benefits and risks of DTI. Methods: This was a prospective observational study had been conducted on 300 gynecological patients admitted for either scheduled or emergency laparoscopy at Mataria Teaching Hospital during the period between June 2017 to June 2019. Results: Showed that successful pneumoperitoneum was established in 100% patients irrespective of previous surgery, BMI, parity. Mean time to induce pneumoperitoneum was 100.6 ± 19.27 sec in all patients. 30 patients had a minor omental injury as there was omental adhesion to anterior abdominal wall due to previous surgery. These injuries were very small and managed by laparoscopy. Six patients had an injury to uterine fundus. Conclusion: This study concluded that DTI is safe, rapid and efficient alternative procedure with low incidence of complications.

Keywords

Direct trocar insertion; Laparoscopic entry; Laparoscopy complications; Pneumoperitoneum

Cite the article

Shatta AF, Girbash EF. Direct Trocar Insertion without Previous Pneumoperitoneum in Laparoscopic Gynecological Surgery. Clin Surg. 2020; 5: 2765..