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Open laparoscopic access for primary trocar using modified Hasson's technique.

Abdul R Khan1

  • 1Division of Pediatric Surgery, Department of Surgery, King Saud University and King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia. kkuh_12@yahoo.com

Saudi Medical Journal
|June 5, 2003
PubMed
Summary
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The modified Hasson technique for open laparoscopic access is safe and effective in pediatric surgery. This method for primary trocar insertion in children resulted in minimal complications in the first 100 cases.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery

Background:

  • Laparoscopic surgery is increasingly utilized in pediatric patients.
  • Safe and effective primary trocar insertion is crucial for successful laparoscopic procedures in children.

Purpose of the Study:

  • To evaluate the safety and efficacy of the modified Hasson technique for primary trocar insertion in pediatric laparoscopic surgery.

Main Methods:

  • A prospective evaluation of 100 laparoscopic procedures in children (3 months to 12 years) using the modified Hasson technique.
  • Procedures were performed at King Khalid University Hospital between January 1999 and April 2001.

Main Results:

  • The modified Hasson technique was used for various pediatric conditions including appendicitis, undescended testes, gallstones, and varicocele.

Related Experiment Videos

  • Minor operative complications occurred in 3% of cases (pre-peritoneal trocar placement, omental bleeding).
  • Minor post-operative complications occurred in 2% of cases (port infection, port site hematoma).
  • Conclusions:

    • The modified Hasson technique demonstrated a favorable safety profile with no major or life-threatening complications in pediatric laparoscopic surgery.
    • The technique is effective for primary trocar insertion, with access secured within an average of 4 minutes.
    • The modified Hasson technique is recommended for all pediatric laparoscopic procedures due to its safety and efficacy.