Direct trocar insertion: alternative abdominal entry technique for laparoscopic surgery.

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dc.contributor.authorRahman, M Men_US
dc.contributor.authorMamun, A Aen_US
dc.date.accessioned2003-01-29en_US
dc.date.accessioned2009-05-27T03:52:40Z
dc.date.available2003-01-29en_US
dc.date.available2009-05-27T03:52:40Z
dc.date.issued2003-01-29en_US
dc.descriptionMymensingh Medical Journal.en_US
dc.description.abstractThe study was designed to assess the feasibility of direct trocar technique for accessing the abdominal cavity for operative laparoscopy. A retrospective review of 1500 patients who underwent Laparoscopic cholecystectomy in Mymensingh Medical College Hospital and a private hospital between January 1999 and July 2002 was done. The transumbilical direct trocar entry method was used in 1375, the veress needle insertion technique was employed in 106 patients and open laparoscopy was used in 19 patients. Six (0.4%) Major complications occurred; 4 enterotomy and 2 omental herniation. All the enterotomy was related to primary access. Three (0.22%) during direct trocar entry method and another by open laparoscopy method. The bowel was repaired. Two patients had omental herniation through the umbilical port site related to open laparoscopy method which were repaired. Based on our experience the direct trocar technique is a safe approach to abdominal entry for laparoscopic surgery without prior pneumoperitoneum.en_US
dc.description.affiliationDepartment of Surgery, Mymensingh Medical College Hospital. drmuzib@bangla.neten_US
dc.identifier.citationRahman MM, Mamun AA. Direct trocar insertion: alternative abdominal entry technique for laparoscopic surgery. Mymensingh Medical Journal. 2003 Jan; 12(1): 45-7en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/1078
dc.language.isoengen_US
dc.subject.meshAbdomen --surgeryen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshCholecystectomy, Laparoscopic --adverse effectsen_US
dc.subject.meshDigestive System Diseases --surgeryen_US
dc.subject.meshFeasibility Studiesen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIntraoperative Complications --etiologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRisk Factorsen_US
dc.titleDirect trocar insertion: alternative abdominal entry technique for laparoscopic surgery.en_US
dc.typeClinical Trialen_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
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