Laparoscopic entry techniques: a protocol for daily gynaecological practice in The Netherlands

Bakkum, Erica A.; Timmermans, Anne; Admiraal, Jon; Brölmann, Ham; Jansen, Frank-Willem

doi:10.1007/s10397-006-0174-4

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…For laparoscopic surgery different approaches have been created nowadays [10,11]. A few international investigations have proposed principal of safe laparoscopic entry [12][13][14][15][16]. Open laparoscopy named as Hasson and close, direct entry laparoscopy is used in general surgery [17].…”

Section: Introductionmentioning

confidence: 99%

Preparation of the surgical place for laparoscopic procedure of the prostate gland tumors

et al. 2022

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Aim: The purpose of this study to present the upgrading method of laparoscopic procedure of prostate cancer. Material and methods: This work was made as part of the PhD dissertation. This technique could be recommended for treatment of the prostate gland tumors. The Patent of the Republic of Kazakhstan №35437 was received on 31.12.2021    Results: The laparoscopic procedure for both methods are the same, there is some upgrading of traditional method by proposing improvements of trocars insertion. During traditional method four working trocars are installed extraperitoneal under the control of optics. We recommend four working trocars are installed under the control of the index finger, palpating the lower epigastric vessels from the inside; it is avoid to damage of the peritoneum, injection of gas into the abdominal space, damage of the vessels of the pelvis. Conclusion: The method allows avoiding bleeding, pneumoperitoneum, and decreased saturation; and in the early postoperative period, peritonitis is excluded and the late postoperative period, adhesive processes do not occur.

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Section: Introductionmentioning

confidence: 99%

Preparation of the surgical place for laparoscopic procedure of the prostate gland tumors

et al. 2022

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“…In an attempt to minimize the risks of laparoscopy and unify clinical practice, a number of international bodies (International Middlesbrough Consensus [96], RCOG [draft version only] [97], SOGC [78], RANZ-COG [98], EAES [99], Society of American Gastrointestinal Endoscopic Surgeons [SAGES] [100], the French Society of Endoscopic Gynecology [101], the Netherlands [102] and individual experts [103][104][105]) have recommended specific ''safe laparoscopic entry'' principles. In fact, several small studies [106][107][108] have shown that adoption of a recommended technique [78,96] can reduce the incidence of laparoscopic entry-related complications.…”

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confidence: 99%

Laparoscopic entry techniques: clinical guideline, national survey, and medicolegal ramifications

Varma

Gupta

2008

Surg Endosc

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Background This study aimed to establish criteria for safe laparoscopic entry through a systematic literature search and evidence-based medicine appraisal, to determine surgeon preferences for laparoscopic entry in the United Kingdom, and to appraise the medicolegal ramifications of complications arising from laparoscopic entry. Methods A systematic literature search of MEDLINE and EMBASE (1996-2007) was performed as well as a national surgeon survey by questionnaire (May-December 2006). Results Laparoscopic entry criteria involving 10 steps were established based on the systematic literature search and evidence-based critical appraisal. The national survey had 226 respondents, with the majority aware of the Middlesbrough consensus or Royal College of Obstetricians and Gynaecologists [RCOG]-sourced guidance. There was considerable variation in preferred laparoscopic entry techniques. Currently, there is clear judicial guidance on the medicolegal stance toward laparoscopic entry-related complications. Conclusions Despite widespread awareness of laparoscopic entry guidelines, there remains considerable variation in the techniques adopted in clinical practice. Unless practice concurs with recommended guidance, women undergoing laparoscopy will be exposed to increased unnecessary operative risk. Laparoscopic entry-related injury in an uncomplicated woman is considered negligent practice according to UK legal case law.

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Comparison of two methods of laparoscopic trocar insertion (Hasson and Visiport) in terms of speed and complication in urologic surgery

Mohammadi¹,

Shakiba²,

Shirani³

2018

BioMedicine

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Background: Nowadays, diverse approaches have been existed for laparoscopic procedures. The most common laparoscopic entry methods included close and direct entry laparoscopy and open (Hasson) laparoscopy. There is no evidence regarding the superiority in safety and initial speed for the use of open and optical laparoscopic entry. Therefore, the sight of current study was to evaluate comparative survey of two methods of laparoscopic trocar insertion (Hasson and VisiportTM) in terms of speed and complications in urologic surgery.Methods: This expertized base clinical trial study was conducted on 100 patients who underwent urological laparoscopy in Alzahra Hospital, Isfahan, Iran. These patients were randomly divided to two groups (n = 50). One group underwent open laparoscopy and another group Visiport optical trocar. Speed and Complications of urologic surgery was extracted from medical records. Independent T test was used for doing of analysis.Results: The mean age of patients in Hasson and Visiport laparoscopic group was 41.4 ± 11.2 and 41.6 ± 15 years old, respectively (p = 0.91). The mean time for initial trocar placement in patients who underwent Visiport trocar system and Hasson laparoscopic technique was 37.7 ± 15.59 and 95.4 ± 31.75 seconds. There was gratifying difference between two techniques of laparoscopic trocar insertion (Hasson and Visiport) in terms of speed (p = 0.000). In addition, complications were observed in 8% of patients who underwent Visiport trocar system. However, no complications were observed in Hasson laparoscopy group.Conclusion: Visiport optical trocar technique is faster for initial trocar placement than open laparoscopy. However it is associated with complications compared to open laparoscopy. Therefore, there is evidence of benefit in terms of speed for initial trocar placement and harm based on complications in Visiport trocar system.

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Laparoscopic entry techniques: a protocol for daily gynaecological practice in The Netherlands

Cited by 3 publications

References 17 publications

Preparation of the surgical place for laparoscopic procedure of the prostate gland tumors

Preparation of the surgical place for laparoscopic procedure of the prostate gland tumors

Laparoscopic entry techniques: clinical guideline, national survey, and medicolegal ramifications

Comparison of two methods of laparoscopic trocar insertion (Hasson and Visiport) in terms of speed and complication in urologic surgery

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