Safety of Direct Trocar Entry in Laparoscopy in a Structured Fellowship Programme

Authors

  • Nikita Trehan DNB [Obst. And Gynae], MNAMS, Diploma in Laparoscopic Surgery [Kochi, Germany]. Senior Consultant and Managing Director, Sunrise Hospital. F-1, Kalindi Colony, New Delhi
  • Hafeez Rehman Padiyath Senior Consultant and Chairman, Sunrise Hospital. Seaport Airport Road, Kakkanad, Ernakulam
  • Amanjot Kaur Fellow Advanced Gynaecology Laparoscopy, Assistant Professor, Dept. of Obst. And Gynae. Government Medical College, Patiala, Punjab
  • Mansi Dhingra Fellow Advanced Gynaeology Laparoscopy. Consultant, Vaga Hospital, KS 14, Aliganj Housing Scheme, Sitapur Road, Lucknow, Uttar Pradesh
  • Rashmi Shriya Fellow Advanced Gynaecology Laparoscopy. Consultant, Delhi
  • Ayesha Ahmad Fellow Advanced Gynaeology Laparoscopy. Associate Professor, Era’s Lucknow Medical College and Hospital, Sarfarazganj, Lucknow, Uttar Pradesh,

DOI:

https://doi.org/10.31344/ijhhs.v4i1.119

Keywords:

Direct trocar insertion, Veress needle, primary trocar entry, Lee Huang’s point, Palmer’s point

Abstract

Introduction:The best method of primary trocar insertion in laparoscopy remains controversial. There are advocates for both initial Veress needle insertion as well as direct trocar insertion.

Aim of the study: This study was carried out to find out the complication rate of direct trocar insertion as a method of laparoscopic entry and find out the learning curve of trainees in a structured fellowship programme.

Methodology: Retrospective analysis was done over period of 5 years with a sample size of 2053 subjects.

Results: 2053 laparoscopic surgeries were examined. Overall complication rate was 0.38%; subjects with previous abdominal surgery were found to have higher complication rate as compared to ones with no history of prior surgery. [0.46% and 0.35% respectively]. All trainees gained reasonable degree of confidence within 6 months.

Conclusion: Direct trocar insertion is a safe method of laparoscopic entry, which can be taught to trainees with no prior laparoscopic experience, without an increase in entry complications.

International Journal of Human and Health Sciences Vol. 04 No. 01 January’20 Page : 51-54

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Published

2019-10-31

How to Cite

Trehan, N., Padiyath, H. R., Kaur, A., Dhingra, M., Shriya, R., & Ahmad, A. (2019). Safety of Direct Trocar Entry in Laparoscopy in a Structured Fellowship Programme. International Journal of Human and Health Sciences (IJHHS), 4(1), 51–54. https://doi.org/10.31344/ijhhs.v4i1.119

Issue

Vol. 4 No. 1 (2020)

Section

Original Articles

License

Copyright (c) 2019 Nikita Trehan; Hafeez Rehman Padiyath; Amanjot Kaur; Mansi Dhingra; Rashmi Shriya; Ayesha Ahmad

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