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Federación Mexicana de Ginecología y Obstetricia, A.C.

2016, Number 11

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Ginecol Obstet Mex 2016; 84 (11)

Direct trocar insertion technique in gynecological laparoscopic surgery

Romo-Gutiérrez R, García-de la Torre JI, Villa-Ponce D

Language: Spanish
References: 14
Page: 711-716
PDF size: 308.39 Kb.


ABSTRACT

Background: The mayor complications in laparoscopic surgery happen at the beginning of the abdominal entry. With the object of minimizing the risk for complications there has been implemented a great number of techniques and technologies in the last 50 years.
Objetive: To determine the complications incidence in the laparoscopic surgery with the direct trochar technique.
Material and Methods: Retrospective study descriptive, and comparative. 103 patients brought to gynecologic laparoscopic surgery at Hospital Universitario de Saltillo, between January 2010 to December 2015 with the direct trochar entry technique and Veress needle.
Results: Both groups with similar demographic characteristics. Being the first diagnostic indication, the anexial tumor; in a 26%, it was made the entry with Veress needle entry technique, and in the 73.9% with the direct trochar entry technique. Only one uterine perforation with Veress needle.
Conclusions: The direct trochar access technique involves a time reduction as it reduces the number of “blind steps” with Veress needle from three to one the trochar entry. Talking about the supraumbilical access, it has not been found reported in literature, theoretically and in base to the experience it is considered a secure access way. Given that in the present study are not present mayor complications, it can be considered both techniques to be secure and it will be selected according to the preference and experience of the surgeon.


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