COMPARISON OF OPEN (HASSON) AND CLOSED (VERESS NEEDLE) METHODS OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIES
Objectives: To compare Open versus Closed method of creating pneumoperitoneum in terms of first access complications. Study Design: Randomized clinical trial. Place and Duration of Study: Surgical Department, CMH Rawalpindi, from October 2014 to April 2015. Material and Methods: Total 550 P...
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2019-04-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://www.pafmj.org/index.php/PAFMJ/article/view/2733/2141 |
| _version_ | 1818922051804594176 |
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| author | Amir Iqbal Ali Shehzad Abbasi Syed Mukarram Hussain |
| author_facet | Amir Iqbal Ali Shehzad Abbasi Syed Mukarram Hussain |
| author_sort | Amir Iqbal Ali |
| collection | DOAJ |
| description | Objectives: To compare Open versus Closed method of creating pneumoperitoneum in terms of first access complications.
Study Design: Randomized clinical trial.
Place and Duration of Study: Surgical Department, CMH Rawalpindi, from October 2014 to April 2015.
Material and Methods: Total 550 Patients presenting in surgical OPD and undergoing elective laparoscopic procedures were included and randomly divided into two equal groups by lottery method. In group A, open technique (Hasson cannula) and in group B, closed technique (Veress needle) was used. All patients were monitored during surgery for any first access related complications and this was carried out at regular intervals.
Data for each patient was recorded on patient’s proforma.
Results: We found better safety profile of open (Hassan) method over close (Veress Needle). Except for more gas leakage in open group (6.2%) as compared to closed (5.1%), all other complications occurred more frequent in closed group. The mean access time in the Open Group (3.2 ± 1.1 minutes) was less than for the Closed Arm (5.4 ± 0.7 minutes).
Conclusions: There was difference in frequency of complications in both groups with Open method being safer and rate of complication was less as compared to the close method. |
| first_indexed | 2024-12-20T01:47:24Z |
| format | Article |
| id | doaj.art-dc5efa2d2ab7437baf7a5fc97bc06b20 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-12-20T01:47:24Z |
| publishDate | 2019-04-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-dc5efa2d2ab7437baf7a5fc97bc06b202022-12-21T19:57:44ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422019-04-01692255261COMPARISON OF OPEN (HASSON) AND CLOSED (VERESS NEEDLE) METHODS OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIESAmir Iqbal Ali0Shehzad Abbasi1Syed Mukarram Hussain2Combined Military Hospital Chhor/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital Quetta/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanObjectives: To compare Open versus Closed method of creating pneumoperitoneum in terms of first access complications. Study Design: Randomized clinical trial. Place and Duration of Study: Surgical Department, CMH Rawalpindi, from October 2014 to April 2015. Material and Methods: Total 550 Patients presenting in surgical OPD and undergoing elective laparoscopic procedures were included and randomly divided into two equal groups by lottery method. In group A, open technique (Hasson cannula) and in group B, closed technique (Veress needle) was used. All patients were monitored during surgery for any first access related complications and this was carried out at regular intervals. Data for each patient was recorded on patient’s proforma. Results: We found better safety profile of open (Hassan) method over close (Veress Needle). Except for more gas leakage in open group (6.2%) as compared to closed (5.1%), all other complications occurred more frequent in closed group. The mean access time in the Open Group (3.2 ± 1.1 minutes) was less than for the Closed Arm (5.4 ± 0.7 minutes). Conclusions: There was difference in frequency of complications in both groups with Open method being safer and rate of complication was less as compared to the close method.https://www.pafmj.org/index.php/PAFMJ/article/view/2733/2141pneumoperitoneumveress needlelaparoscopy |
| spellingShingle | Amir Iqbal Ali Shehzad Abbasi Syed Mukarram Hussain COMPARISON OF OPEN (HASSON) AND CLOSED (VERESS NEEDLE) METHODS OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIES Pakistan Armed Forces Medical Journal pneumoperitoneum veress needle laparoscopy |
| title | COMPARISON OF OPEN (HASSON) AND CLOSED (VERESS NEEDLE) METHODS OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIES |
| title_full | COMPARISON OF OPEN (HASSON) AND CLOSED (VERESS NEEDLE) METHODS OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIES |
| title_fullStr | COMPARISON OF OPEN (HASSON) AND CLOSED (VERESS NEEDLE) METHODS OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIES |
| title_full_unstemmed | COMPARISON OF OPEN (HASSON) AND CLOSED (VERESS NEEDLE) METHODS OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIES |
| title_short | COMPARISON OF OPEN (HASSON) AND CLOSED (VERESS NEEDLE) METHODS OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIES |
| title_sort | comparison of open hasson and closed veress needle methods of creating pneumoperitoneum in laparoscopic surgeries |
| topic | pneumoperitoneum veress needle laparoscopy |
| url | https://www.pafmj.org/index.php/PAFMJ/article/view/2733/2141 |
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