Abdominal access in laparoscopic surgery of obese patients: a novel abdominal access technique
BACKGROUND: An important step in laparoscopic surgery is abdominal access. Several abdominal access techniques have been described to reduce complications. We compare our novel abdominal access technique (MESAD) with other abdominal access techniques, particularly to reduce complications in obese pa...
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| Format: | Article |
| Language: | English |
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King Faisal Specialist Hospital and Research Centre
2023-07-01
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| Series: | Annals of Saudi Medicine |
| Online Access: | http://www.annsaudimed.net/doi/10.5144/0256-4947.2023.236 |
| _version_ | 1797745892943462400 |
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| author | Mesut Polat Adnan Incebiyik Omer Tammo |
| author_facet | Mesut Polat Adnan Incebiyik Omer Tammo |
| author_sort | Mesut Polat |
| collection | DOAJ |
| description | BACKGROUND: An important step in laparoscopic surgery is abdominal access. Several abdominal access techniques have been described to reduce complications. We compare our novel abdominal access technique (MESAD) with other abdominal access techniques, particularly to reduce complications in obese patients. OBJECTIVE: Compare the MESAD method and other methods we use for abdominal access in gynecologic laparoscopic surgery of obese patients DESIGN: Retrospective SETTING: Gynecology department in university hospital PATIENTS AND METHODS: Patients who underwent abdominal access by the MESAD technique, the Veress needle technique, and the Hasson technique were included in our study. In addition to demographic data, minor and major complications, number of unsuccessful attempts, conversion to another technique, and abdominal access times were collected from all patient files. MAIN OUTCOME MEASURES: Clinical data and complications SAMPLE SIZE: 66 patients, 26 by MESAD technique, 24 by the Veress needle technique, and 16 by the Hasson technique. RESULTS: There were two major complications (one in the Veress group and one in the Hasson technique group) and 7 minor complications. No significant difference was found between the groups in terms of complications (P=.477, P=.476, respectively). The fastest technique for abdominal access was in the MESAD technique whereas the slowest was in the Hasson (P<.001). The failure of abdominal access and subsequent conversion to another technique was most common in the Veress group. However, no significant difference was found between the groups (P=.092). CONCLUSIONS: The MESAD technique is an easy method to both learn and teach. We think that the low major-minor complication rates in the MESAD technique will allow surgeons to reduce their anxiety at the first entry and to perform a more comfortable operation. LIMITATIONS: Retrospective CONFLICT OF INTEREST: None. |
| first_indexed | 2024-03-12T15:30:27Z |
| format | Article |
| id | doaj.art-58bda2c043cb446e84a979cd5e7df834 |
| institution | Directory Open Access Journal |
| issn | 0256-4947 0975-4466 |
| language | English |
| last_indexed | 2024-03-12T15:30:27Z |
| publishDate | 2023-07-01 |
| publisher | King Faisal Specialist Hospital and Research Centre |
| record_format | Article |
| series | Annals of Saudi Medicine |
| spelling | doaj.art-58bda2c043cb446e84a979cd5e7df8342023-08-10T06:04:06ZengKing Faisal Specialist Hospital and Research CentreAnnals of Saudi Medicine0256-49470975-44662023-07-0143423624210.5144/0256-4947.2023.236Abdominal access in laparoscopic surgery of obese patients: a novel abdominal access techniqueMesut Polat0Adnan Incebiyik1Omer Tammo2From the Department of Obstetrics and Gynecology, Zeynep Kamil Training and Research Hospital, Istanbul, TurkeyFrom the Department of Gynecology and Obstetrics, Harran University - Osmanbey Campus, Sanliurfa, TurkeyFrom the Department of Gynecology and Obstetrics, Mardin Training and Research Hospital, Mardin, TurkeyBACKGROUND: An important step in laparoscopic surgery is abdominal access. Several abdominal access techniques have been described to reduce complications. We compare our novel abdominal access technique (MESAD) with other abdominal access techniques, particularly to reduce complications in obese patients. OBJECTIVE: Compare the MESAD method and other methods we use for abdominal access in gynecologic laparoscopic surgery of obese patients DESIGN: Retrospective SETTING: Gynecology department in university hospital PATIENTS AND METHODS: Patients who underwent abdominal access by the MESAD technique, the Veress needle technique, and the Hasson technique were included in our study. In addition to demographic data, minor and major complications, number of unsuccessful attempts, conversion to another technique, and abdominal access times were collected from all patient files. MAIN OUTCOME MEASURES: Clinical data and complications SAMPLE SIZE: 66 patients, 26 by MESAD technique, 24 by the Veress needle technique, and 16 by the Hasson technique. RESULTS: There were two major complications (one in the Veress group and one in the Hasson technique group) and 7 minor complications. No significant difference was found between the groups in terms of complications (P=.477, P=.476, respectively). The fastest technique for abdominal access was in the MESAD technique whereas the slowest was in the Hasson (P<.001). The failure of abdominal access and subsequent conversion to another technique was most common in the Veress group. However, no significant difference was found between the groups (P=.092). CONCLUSIONS: The MESAD technique is an easy method to both learn and teach. We think that the low major-minor complication rates in the MESAD technique will allow surgeons to reduce their anxiety at the first entry and to perform a more comfortable operation. LIMITATIONS: Retrospective CONFLICT OF INTEREST: None.http://www.annsaudimed.net/doi/10.5144/0256-4947.2023.236 |
| spellingShingle | Mesut Polat Adnan Incebiyik Omer Tammo Abdominal access in laparoscopic surgery of obese patients: a novel abdominal access technique Annals of Saudi Medicine |
| title | Abdominal access in laparoscopic surgery of obese patients: a novel abdominal access technique |
| title_full | Abdominal access in laparoscopic surgery of obese patients: a novel abdominal access technique |
| title_fullStr | Abdominal access in laparoscopic surgery of obese patients: a novel abdominal access technique |
| title_full_unstemmed | Abdominal access in laparoscopic surgery of obese patients: a novel abdominal access technique |
| title_short | Abdominal access in laparoscopic surgery of obese patients: a novel abdominal access technique |
| title_sort | abdominal access in laparoscopic surgery of obese patients a novel abdominal access technique |
| url | http://www.annsaudimed.net/doi/10.5144/0256-4947.2023.236 |
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