A safe and simple method for routine open access in laparoscopic procedures
Identifieur interne : 000162 ( OpenAccess/Analysis ); précédent : 000161; suivant : 000163A safe and simple method for routine open access in laparoscopic procedures
Auteurs : T. Lafullarde [Belgique] ; R. Van Hee [Belgique] ; T. Gys [Belgique]Source :
- Surgical endoscopy [ 0930-2794 ] ; 1999.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Complication, Endoscopic surgery, Evaluation, Human, Humans, Intraoperative Complications, Laparoscopes, Laparoscopic surgery, Laparoscopy, Laparoscopy (methods), Modification, Pneumoperitoneum, Pneumoperitoneum, Artificial (instrumentation), Pneumoperitoneum, Artificial (methods), Prevention, Technique, Trochar.
- MESH :
- instrumentation : Pneumoperitoneum, Artificial.
- methods : Laparoscopy, Pneumoperitoneum, Artificial.
- Humans, Intraoperative Complications, Laparoscopes.
Abstract
Background: Access to the peritoneal cavity in laparoscopic procedures is generally achieved by means of a pneumoperitoneum, following introduction of a Veress needle. Because this procedure must be done blindly, it is not without visceral or vascular hazards. Therefore, we sought an alternative technique that might obviate these complications. Methods: In a series of 803 patients, a modified Hasson technique was used to obtain a pneumoperitoneum without risking the complications associated with the introduction of a Veress needle. Results: The modified Hasson technique proved to be feasible in all cases. No visceral or vascular complications resulted, but 10 patients had a transient serous discharge. Follow-up ranged between 5 and 52 months. Conclusion: The modified Hasson technique should always be used in laparoscopic procedures.
Affiliations:
Links toward previous steps (curation, corpus...)
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Links to Exploration step
Pascal:99-0412947Le document en format XML
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<term>Laparoscopy</term>
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<term>Pneumoperitoneum, Artificial (methods)</term>
<term>Prevention</term>
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<term>Pneumoperitoneum, Artificial</term>
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<term>Laparoscopie</term>
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<term>Technique</term>
<term>Pneumopéritoine</term>
<term>Trocart</term>
<term>Evaluation</term>
<term>Modification</term>
<term>Prévention</term>
<term>Complication</term>
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<front><div type="abstract" xml:lang="en">Background: Access to the peritoneal cavity in laparoscopic procedures is generally achieved by means of a pneumoperitoneum, following introduction of a Veress needle. Because this procedure must be done blindly, it is not without visceral or vascular hazards. Therefore, we sought an alternative technique that might obviate these complications. Methods: In a series of 803 patients, a modified Hasson technique was used to obtain a pneumoperitoneum without risking the complications associated with the introduction of a Veress needle. Results: The modified Hasson technique proved to be feasible in all cases. No visceral or vascular complications resulted, but 10 patients had a transient serous discharge. Follow-up ranged between 5 and 52 months. Conclusion: The modified Hasson technique should always be used in laparoscopic procedures.</div>
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