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ISSN 1405-0099 (Print)

2003, Number 1

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Cir Gen 2003; 25 (1)

Creation of pneumoperitoneum without Veress needle. It avoids complications

Melgoza OC, Lasky MD, Hesiquio SR, Ruiz-Velasco RC, Hidalgo CF

Language: Spanish
References: 22
Page: 41-43
PDF size: 37.82 Kb.


ABSTRACT

Objective: To review the efficacy and safety of the direct insertion of the first trocar without previous pneumoperitoneum.
Setting: Third level health care hospital.
Design: Prospective, observational study, without control group.
Patients and method: In a seven year period, a total of 350 patients were operated laparoscopically; direct insertion of the first trocar without previous pneumoperitoneum was performed in all of them, without selecting the patients nor excluding any patient due to previous surgery.
Results: No complications occurred related to the insertion technique, time to create the pneumoperitoneum was brief-15 seconds-using a 20 l/min insufflator.
Conclusion: The technique of creating a pneumoperitoneum without the Veress needle is simple, safe, and decreases complications.


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