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A safe and simple method for routine open access in laparoscopic procedures.

T Lafullarde1, R Van Hee, T Gys

  • 1Academic Surgical Center Stuivenberg, Lange Beeldekensstraat 267, B-2060 Antwerp, Belgium.

Surgical Endoscopy
|August 3, 1999
PubMed
Summary
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The modified Hasson technique offers a safer alternative for laparoscopic procedures, avoiding Veress needle complications. This method successfully achieved pneumoperitoneum in all patients, demonstrating its safety and feasibility.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Techniques
  • Abdominal Access

Background:

  • Laparoscopic procedures commonly use pneumoperitoneum, typically induced with a Veress needle.
  • Blind insertion of the Veress needle carries risks of visceral and vascular injury.
  • An alternative technique is needed to mitigate these potential complications.

Purpose of the Study:

  • To evaluate the safety and efficacy of a modified Hasson technique for laparoscopic abdominal access.
  • To determine if this modified Hasson technique can prevent complications associated with Veress needle insertion.

Main Methods:

  • A modified Hasson technique was employed in 803 patients to establish pneumoperitoneum.
  • This approach aimed to bypass the blind insertion risks of the Veress needle.

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Main Results:

  • The modified Hasson technique was successfully implemented in all 803 cases.
  • No visceral or vascular injuries were reported.
  • A minor complication of transient serous discharge occurred in 10 patients.

Conclusions:

  • The modified Hasson technique is a feasible and safe method for achieving pneumoperitoneum in laparoscopic surgery.
  • This technique effectively eliminates the risks of visceral and vascular injury associated with Veress needle use.
  • Routine adoption of the modified Hasson technique is recommended for laparoscopic procedures.