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Related Experiment Videos

Routine use of open laparoscopy: 1,006 consecutive cases.

F Zaraca1, M Catarci, F Gossetti

  • 1Second Surgical Clinic, School of Medicine, University of Rome La Sapienza, Italy. marchir@tin.it

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|April 9, 1999
PubMed
Summary

Hasson

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Area of Science:

  • Laparoscopic surgery
  • Surgical techniques
  • Patient safety

Background:

  • Blind insertion of Veress needle and trocar causes laparoscopic surgery complications.
  • Closed technique remains popular despite risks.
  • Hasson's technique offers an alternative for trocar insertion.

Purpose of the Study:

  • To evaluate the safety and efficacy of Hasson's technique.
  • To determine the complication rates associated with Hasson's technique.
  • To identify any learning curve associated with the procedure.

Main Methods:

  • Retrospective evaluation of 1006 laparoscopic operations.
  • Routine use of Hasson's technique for primary trocar insertion.
  • Analysis of complication rates and their distribution over time.

Main Results:

  • Overall complication rate was 2.2%.
  • A significantly higher complication rate (6%) was observed in the initial 50 cases.
  • Complication rate decreased to 1.9% after the initial learning phase.

Conclusions:

  • Hasson's technique is a safe and effective method for laparoscopic surgery.
  • A learning phase of approximately 50 cases is associated with improved safety.
  • The procedure becomes quick and safe after mastering the initial learning curve.

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