Open Technique Versus Blind Technique in Placement of Primary Ports in Laparoscopic Procedures- A Prospective Cohort Study
Introduction: Laparoscopic access has always been a challenge because it has been associated with severe complications and sometimes fatal also. Aim: To compare open technique versus blind technique in placement of primary port in various laparoscopic procedures in terms of operative time, comp...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2021-09-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/15398/30610_CE[Ra1]_F(SHU)_PF1(SC_SL)_PFA(SC_KM)_PN(KM).pdf |
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| author | Vivek Pahuja Nisha Rani Hershdeep Singh Kuldip Singh Pankaj Dugg Devinder Pal Singh Prem Chand |
| author_facet | Vivek Pahuja Nisha Rani Hershdeep Singh Kuldip Singh Pankaj Dugg Devinder Pal Singh Prem Chand |
| author_sort | Vivek Pahuja |
| collection | DOAJ |
| description | Introduction: Laparoscopic access has always been a challenge
because it has been associated with severe complications and
sometimes fatal also.
Aim: To compare open technique versus blind technique in placement
of primary port in various laparoscopic procedures in terms of
operative time, complications, ease of use and acceptability.
Materials and Methods: This prospective cohort study was
conducted at Government Medical College, Patiala, Punjab,
India, between June 2014 to August 2016. The study included
100 patients, which were divided into two groups. Group A
(n=50) received placement of primary port by open technique
and Group B (n=50) received placement of primary port by
blind technique. The time taken for access into peritoneal cavity
and duration of surgery was noted. Multivariate analysis done
using Chi-square test, p-value of less than 0.05 was considered
significant.
Results: Mean age of patients in group A and group B was
42.66±12.37 years and 43.06±14.67 years, respectively. Majority
of patients were females in both groups (n=45 in group A and
n=39 in group B). There was no significant difference in time taken
for access into peritoneal cavity (p-value>0.05). The duration
of hospital stay (in hours) of the patients was 36.96 in Group A
and 34.42 in Group B which was not statistically significant. The
incidence of intraoperative and postoperative complications was
not significant. Most common complication port site infections 3
(6%) in Group A.
Conclusion: There was no significant difference between the two
techniques with respect to time taken for peritoneal access and
complications. In expert hands, both methods are comparable. |
| first_indexed | 2024-12-14T08:20:46Z |
| format | Article |
| id | doaj.art-85b8ad8ac0ad451887f0a694d3b28a98 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-14T08:20:46Z |
| publishDate | 2021-09-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-85b8ad8ac0ad451887f0a694d3b28a982022-12-21T23:09:49ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-09-01159PC05PC0710.7860/JCDR/2021/30610.15398Open Technique Versus Blind Technique in Placement of Primary Ports in Laparoscopic Procedures- A Prospective Cohort StudyVivek PahujaNisha RaniHershdeep SinghKuldip SinghPankaj DuggDevinder Pal SinghPrem ChandIntroduction: Laparoscopic access has always been a challenge because it has been associated with severe complications and sometimes fatal also. Aim: To compare open technique versus blind technique in placement of primary port in various laparoscopic procedures in terms of operative time, complications, ease of use and acceptability. Materials and Methods: This prospective cohort study was conducted at Government Medical College, Patiala, Punjab, India, between June 2014 to August 2016. The study included 100 patients, which were divided into two groups. Group A (n=50) received placement of primary port by open technique and Group B (n=50) received placement of primary port by blind technique. The time taken for access into peritoneal cavity and duration of surgery was noted. Multivariate analysis done using Chi-square test, p-value of less than 0.05 was considered significant. Results: Mean age of patients in group A and group B was 42.66±12.37 years and 43.06±14.67 years, respectively. Majority of patients were females in both groups (n=45 in group A and n=39 in group B). There was no significant difference in time taken for access into peritoneal cavity (p-value>0.05). The duration of hospital stay (in hours) of the patients was 36.96 in Group A and 34.42 in Group B which was not statistically significant. The incidence of intraoperative and postoperative complications was not significant. Most common complication port site infections 3 (6%) in Group A. Conclusion: There was no significant difference between the two techniques with respect to time taken for peritoneal access and complications. In expert hands, both methods are comparable.https://www.jcdr.net/articles/PDF/15398/30610_CE[Ra1]_F(SHU)_PF1(SC_SL)_PFA(SC_KM)_PN(KM).pdfcomplicationsgastrointestinal tractpneumoperitoneumsurgical instrumentsvisual control |
| spellingShingle | Vivek Pahuja Nisha Rani Hershdeep Singh Kuldip Singh Pankaj Dugg Devinder Pal Singh Prem Chand Open Technique Versus Blind Technique in Placement of Primary Ports in Laparoscopic Procedures- A Prospective Cohort Study Journal of Clinical and Diagnostic Research complications gastrointestinal tract pneumoperitoneum surgical instruments visual control |
| title | Open Technique Versus Blind Technique in Placement of Primary Ports in Laparoscopic Procedures- A Prospective Cohort Study |
| title_full | Open Technique Versus Blind Technique in Placement of Primary Ports in Laparoscopic Procedures- A Prospective Cohort Study |
| title_fullStr | Open Technique Versus Blind Technique in Placement of Primary Ports in Laparoscopic Procedures- A Prospective Cohort Study |
| title_full_unstemmed | Open Technique Versus Blind Technique in Placement of Primary Ports in Laparoscopic Procedures- A Prospective Cohort Study |
| title_short | Open Technique Versus Blind Technique in Placement of Primary Ports in Laparoscopic Procedures- A Prospective Cohort Study |
| title_sort | open technique versus blind technique in placement of primary ports in laparoscopic procedures a prospective cohort study |
| topic | complications gastrointestinal tract pneumoperitoneum surgical instruments visual control |
| url | https://www.jcdr.net/articles/PDF/15398/30610_CE[Ra1]_F(SHU)_PF1(SC_SL)_PFA(SC_KM)_PN(KM).pdf |
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