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An open access technique to create pneumoperitoneum in laparoscopic surgery.

Moberg, Ann-Cathrin LU ; Petersson, Ulf LU and Montgomery, Agneta LU (2007) In Scandinavian Journal of Surgery 96(4). p.297-300
Abstract
BACKGROUND: An open access technique might reduce severe vascular and visceral injuries. An open access technique through the umbilical cicatrix tube has been developed as a routine method with the goal to be easy, safe and used by all surgeons in patients without a previous midline incision. AIM: To evaluate the open technique in a prospective study in 100 consecutive laparoscopic operations regarding time for entrance, surgeons experience and BMI of the patients. METHODS: A midline incision from the linea alba up into the inverted umbilicus was performed in the cicatrix tube and the peritoneum was penetrated allowing air to flow into the abdominal cavity followed by a blunt trocar insertion. RESULTS: Time for access was median 93... (More)
BACKGROUND: An open access technique might reduce severe vascular and visceral injuries. An open access technique through the umbilical cicatrix tube has been developed as a routine method with the goal to be easy, safe and used by all surgeons in patients without a previous midline incision. AIM: To evaluate the open technique in a prospective study in 100 consecutive laparoscopic operations regarding time for entrance, surgeons experience and BMI of the patients. METHODS: A midline incision from the linea alba up into the inverted umbilicus was performed in the cicatrix tube and the peritoneum was penetrated allowing air to flow into the abdominal cavity followed by a blunt trocar insertion. RESULTS: Time for access was median 93 seconds. Entrance time in patients with BMI >30 (n=18) was 100 sec and with BMI <30 it was 90 sec (p = 0.71). The median time for consultants was 88 sec and for residents 120 sec (p = 0.003). No gas leakage was seen. Prolonged time for access was seen in three patients; two equipment failures and one obese patent. CONCLUSION: The open access technique is applicable in all patients without a former midline incision. It is fast, easy to learn with very few associated problems. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian Journal of Surgery
volume
96
issue
4
pages
297 - 300
publisher
Finnish Surgical Society
external identifiers
  • pmid:18265857
  • wos:000251825400007
  • scopus:37749031354
ISSN
1799-7267
language
English
LU publication?
yes
id
620be3ed-efb7-4059-a0ab-78d272a25a7a (old id 1042081)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18265857?dopt=Abstract
date added to LUP
2008-03-03 14:49:05
date last changed
2017-01-01 07:37:02
@article{620be3ed-efb7-4059-a0ab-78d272a25a7a,
  abstract     = {BACKGROUND: An open access technique might reduce severe vascular and visceral injuries. An open access technique through the umbilical cicatrix tube has been developed as a routine method with the goal to be easy, safe and used by all surgeons in patients without a previous midline incision. AIM: To evaluate the open technique in a prospective study in 100 consecutive laparoscopic operations regarding time for entrance, surgeons experience and BMI of the patients. METHODS: A midline incision from the linea alba up into the inverted umbilicus was performed in the cicatrix tube and the peritoneum was penetrated allowing air to flow into the abdominal cavity followed by a blunt trocar insertion. RESULTS: Time for access was median 93 seconds. Entrance time in patients with BMI &gt;30 (n=18) was 100 sec and with BMI &lt;30 it was 90 sec (p = 0.71). The median time for consultants was 88 sec and for residents 120 sec (p = 0.003). No gas leakage was seen. Prolonged time for access was seen in three patients; two equipment failures and one obese patent. CONCLUSION: The open access technique is applicable in all patients without a former midline incision. It is fast, easy to learn with very few associated problems.},
  author       = {Moberg, Ann-Cathrin and Petersson, Ulf and Montgomery, Agneta},
  issn         = {1799-7267},
  language     = {eng},
  number       = {4},
  pages        = {297--300},
  publisher    = {Finnish Surgical Society},
  series       = {Scandinavian Journal of Surgery},
  title        = {An open access technique to create pneumoperitoneum in laparoscopic surgery.},
  volume       = {96},
  year         = {2007},
}