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veress needle

H Abduljabar, A G Vilos, G A Vilos, B Abu Rafea, A Oraif
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
A G Vilos, G A Vilos, B Abu Rafea, A Oraif, H Abduljabar
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
Emily Benham, William Richardson, Jonathan Dort, Henry Lin, A Michael Tummers, Travelyan M Walker, Dimitrios Stefanidis
BACKGROUND: Surgical safety checklists reduce perioperative complications and mortality. Given that minimally invasive surgery (MIS) is dependent on technology and vulnerable to equipment failure, SAGES and AORN partnered to create a MIS checklist to optimize case flow and minimize errors. The aim of this project was to evaluate the effectiveness of the SAGES/AORN checklist in preventing disruptions and determine its ease of use. METHODS: The checklist was implemented across four institutions and completed by the operating team...
September 7, 2016: Surgical Endoscopy
Eric S Hungness, Joel M Sternbach, Ezra N Teitelbaum, Peter J Kahrilas, John E Pandolfino, Nathaniel J Soper
OBJECTIVE: We aimed to report long-term outcomes for patients undergoing per-oral endoscopic myotomy (POEM) after our initial 15-case learning curve. BACKGROUND: POEM has become an established, natural-orifice surgical approach for treating esophageal motility disorders. To date, published outcomes and comparative-effectiveness studies have included patients from the early POEM experience. METHODS: Consecutive patients undergoing POEM after our initial 15 cases, with a minimum of 1-year postoperative follow-up, were included...
September 2016: Annals of Surgery
Selman Uranues, Orhan Veli Ozkan, Gordana Tomasch
BACKGROUND: Access-related injuries are still an important consideration and may increase morbidity and mortality. This study aimed to present in detail a safe and easy technique for open insertion of the first trocar. PATIENTS AND METHODS: This technique has been used routinely in the vast majority of laparoscopic procedures at first author's department since 1998. The data were collected prospectively and analyzed retrospectively for the 11-year period of January 2005 through December 2015...
September 2016: Langenbeck's Archives of Surgery
E Cesario, P Crochet, F-X Boyer de Latour, G Eglin, B De Rochambeau, A Agostini
INTRODUCTION: Port insertion is a high-risk period during laparoscopy. The French Gynecologist and Obstetricians College (CNGOF) published recommendations in 2010 to minimize those risks. The aim of our analysis was to establish the accidents' circumstances and consequences and to determine if those incidents could have been depending on whether recommendations had been respected or not. MATERIAL AND METHODS: Gynerisq is an approved organism by the Haute Autorité de santé (HAS)...
June 15, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Bram Cornette, Frederik Berrevoet
Trocar injuries are a possible cause for severe morbidity and mortality when performing laparoscopic surgery. This systematic review investigates the differences in the incidence of complications depending on the method of entry. A meta-analysis of the medical literature was performed. Search results were limited to clinical trials and the following languages: English, French, German, or Dutch. All results that compared the Veress, Hasson, and direct entry technique or compared sharp, blunt, and radially expanding trocars (RET) were included (n = 19)...
October 2016: World Journal of Surgery
G Bianchi, E Martorana, A Ghaith, G M Pirola, M Rani, P Bove, F Porpiglia, F Manferrari, S Micali
BACKGROUND: Laparoscopy is a minimally invasive technique to access the abdominal cavity, for diagnostic or therapeutic applications. Optimizing the access technique is an important step for laparoscopic procedures. The aim of this study is to assess the outcomes of different laparoscopic access techniques and to identify the safest one. METHODS: Laparoscopic access questionnaire was forwarded via e-mail to the 60 centers who are partners in working group for laparoscopic and robotic surgery of the Italian Urological Society (SIU) and their American and European reference centers...
July 2016: Actas Urologicas Españolas
Paul Nimrod B Firaza, Enrique Ian S Lorenzo, Juan Godofredo R Bardelosa, Edgardo L Reyes, Nelson A Patron
INTRODUCTION: Hybrid natural orifice translumenal endoscopic surgery (NOTES(®); American Society for Gastrointestinal Endoscopy [Oak Brook, IL] and Society of American Gastrointestinal and Endoscopic Surgeons [Los Angeles, CA]) reduces the invasiveness of conventional laparoscopic surgery and overcomes the limitation of pure NOTES, especially in the absence of angulated instruments. PATIENTS AND METHODS: The patients were 66-, 69-, and 32-year-old women with complaints of recurrent flank pain and urinary tract infection due to an obstructed nonfunctioning kidney...
February 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Jae-Gwan Cha, Hae Beom Lee, Hye-Yeon Cheong, Su-Young Heo, Guillaume R Ragetly
OBJECTIVES: The aim of this study was to evaluate the use of a Veress needle as a fluid egress system for stifle arthroscopy in toy dog breeds. METHODS: Cadaveric canine stifle joints (n = 32) were prepared to induce an artificial intra-articular haemorrhagic effect, followed by stifle arthroscopy. The stifles were randomly assigned to one of three groups, and a fluid egress portal was established using a Veress needle (VN), a standard egress cannula (SE), or an intravenous catheter stylet (CS)...
2016: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
Magnus Sundbom, Johan Ottosson
BACKGROUND: Although, the vast majority of bariatric procedures worldwide are performed laparoscopically, there is no consensus on the best technique to enter the first trocar, a potentially dangerous maneuver. Three principally different techniques exist: initial pneumoperitoneum by Verres needle, open Hasson technique, and direct placement of an optical trocar. In this nationwide survey, we have studied the presently used technique to place the first trocar and identified any intraabdominal injuries in 2012-2014...
September 2016: Obesity Surgery
Juan José Segura-Sampedro, Jesús Cañete-Gómez, Julio Reguera-Rosal, Francisco Javier Padillo-Ruiz, César Pablo Ramírez-Plaza
Laparoscopic surgery has become more widespread in the last years. Creating the pneumoperitoneum is the first surgical procedure but it is still responsible for many of the adverse events described in this field. Until now, liver puncture producing a delayed biloma has not been described. We present a case where a biloma was developed after liver puncture by the Veress needle, during a laparoscopic procedure, and detected on the 3rd day. It was detected by CT scan and treated by laparoscopy. Biloma due to Veress needle is a new entity in the context of adverse events related to Veress needle insertion, which needs a high suspicious index...
September 2015: Annals of Medicine and Surgery
S Kovachev
The debate about the safety of penetrating technique in laparoscopy, persist for more than four decades and still does not approach the scientifically valid decision about what method to use: closed with a Veress needle laparoscopic surgery; open laparoscopy; direct placement of troakar without prior to insufflation, visual entry methods. We're meant to look at the advantages and disadvantages of the laparoscopic approach, which we use in the Clinic of Gynaecology of the Military Medical Academy, Sofia, Bulgaria, having conducted a search in the literature and Medline from the year in which it was introduced (1971) to present...
2015: Akusherstvo i Ginekologii︠a︡
S Kovachev, A Ganovska, V Atanasova, S Sergeev, V Mutafchiyski, N Vladov
The open technique was first described by Hasson in 1970. This technique consists of creating a small umbilical incision under direct visualization to enter the abdominal cavity followed by the introduction of a blunt trocar. Pneumoperitoneum is then rapidly created. Hasson proposed its potential benefits to be the avoidance of blind insertion of the Veress needle and bladed trocar, prevention of visceral and vascular injuries, preperitoneal insufflation and gas embolism, guaranteed pneumoperitoneum, and a more anatomical repair of the abdominal wall...
2015: Akusherstvo i Ginekologii︠a︡
Esteban Gonzalez-Gasch, Eric Monnet
OBJECTIVE: To report and compare the duration of surgery, the frequency of complications, and the frequency of open conversion for elective surgeries performed with 2 laparoscopic techniques: a single incision port access system (SPAS) and a multiple port access system (MPAS) using a Veress needle. STUDY DESIGN: Retrospective case series. ANIMALS: Ninety-eight consecutive, client owned dogs. METHODS: Medical records of dogs undergoing an elective laparoscopic procedure were reviewed...
October 2015: Veterinary Surgery: VS
Gaity Ahmad, David Gent, Daniel Henderson, Helena O'Flynn, Kevin Phillips, Andrew Watson
BACKGROUND: Laparoscopy is a common procedure in many surgical specialities. Complications arising from laparoscopy are often related to initial entry into the abdomen. Life-threatening complications include injury to viscera e.g. the bowel or bladder, or to vasculature e.g. major abdominal and anterior abdominal wall vessels. Minor complications can also occur, such as postoperative wound infection, subcutaneous emphysema, and extraperitoneal insufflation. There is no clear consensus as to the optimal method of laparoscopic entry into the peritoneal cavity...
2015: Cochrane Database of Systematic Reviews
Avinoam Nevler, Gil Har-Zahav, Danny Rosin, Mordechai Gutman
INTRODUCTION: Laparoscopic surgery is widely practiced surgical technique in the modern surgical toolbox. The Veress needle insertion technique, while faster and easier, is associated with higher rates of iatrogenic complications (injury to internal organs, major blood vessels, etc.), morbidity and even mortality with a reported overall risk of 0.32% during surgical interventions. In order to increase the safety and ease of closed insertion technique, we designed and tested an improved prototype of the Veress needle...
February 2016: Surgical Endoscopy
Mohamed Mahmood Nasr
BACKGROUND: In this study, the proposed technique is combining the invented method of extraperitoneal dissection utilizing gas insufflation through Veress needle introduced from the groin with the transabdominal approach. Such a combination minimizes operative demands, achieves major goals, and reduce operative time in an attempt to improve laparoscopic hernioplasty techniques. METHODS: The study recruited 211 patients having primary reducible inguinal hernia upon first diagnosis...
March 2016: Surgical Endoscopy
Parissa Tabrizian, Thejus T Jayakrishnan, Anthony Zacharias, Samantha Aycart, Fabian M Johnston, Umut Sarpel, Daniel M Labow, Kiran K Turaga
INTRODUCTION: Diagnostic laparoscopy (DL), which can predict complete cytoreduction (CC), is often considered unfeasible in patients with Peritoneal metastases (PM) due to a hostile abdomen, prior surgeries, incomplete assessment or risk of port site recurrence. We hypothesized that DL can be successfully incorporated into the management of patients with PM. METHODS: Retrospective review and data analysis of prospectively maintained databases from two high volume institutions was performed between 2007 and 2013...
June 2015: Journal of Surgical Oncology
Pierluigi Giampaolino, Massimiliano Pellicano, Giovanni Antonio Tommaselli, Giuseppe Bifulco, Stefania Simioli, Carmine Nappi, Costantino Di Carlo
PURPOSE: Transvaginal hydrolaparoscopy (THL) is a mini-invasive technique, which allows exploration of the posterior pelvis. THL can be carried out as an office procedure and may replace hysterosalpingography and laparoscopy for the diagnosis of infertility. The aim of this study was to assess pain level during each step of THL. METHODS: Forty infertile women underwent office THL with local anesthesia and had to score pain on a Likert scale (0-no pain, 5-maximum pain) during five stages of THL: stage 1, introduction of the intrauterine catheter; stage 2, introduction of the Veress needle in the Douglas pouch; stage 3, introduction of the trocar in the pelvis; stage 4, exploration of pelvic organs; stage 5, chromosalpingoscopy...
December 2015: Archives of Gynecology and Obstetrics
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