Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Entry technique for laparoscopy.

O Contarini1, A Roychoudhury

  • 1Memorial Medical Center, Baptist Medical Center, Jacksonville, FL, USA.

Surgical Technology International
|January 1, 1996
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Radiological and clinical correlations of the anterior ethmoidal artery in functional endoscopic sinus surgery.

The Journal of laryngology and otology·2021
Same author

Strategies to reduce re-ankylosis in temporomandibular joint ankylosis patients.

The British journal of oral & maxillofacial surgery·2021
Same author

Role of Carnoy's solution as treatment adjunct in jaw lesions other than odontogenic keratocyst: a systematic review.

The British journal of oral & maxillofacial surgery·2021
Same author

Does closed treatment of paediatric mandibular condyle fractures result in restitutional remodelling?

The British journal of oral & maxillofacial surgery·2021
Same author

Patient-specific three-dimensional printed template for halo frame pin placement for multiple skull bone defects after cranioplasty.

The British journal of oral & maxillofacial surgery·2021
Same author

Fixation of subcondylar fractures of the mandible: a randomized clinical trial comparing one trapezoidal plate with two miniplates.

International journal of oral and maxillofacial surgery·2020
Same journal

Do Differences in Patient-Reported Outcome Measures for Robot-Assisted and Navigated Unicompartmental Knee Replacement Achieve Minimal Clinically Important Differences?

Surgical technology international·2025
Same journal

Clinical and Radiological Results of the Integrated Acetabular MUTARS® RS Cup System in the Revision of Geriatric Patients.

Surgical technology international·2025
Same journal

Does Robotic-Assisted Functional Knee Positioning Result in Better Functional Outcomes One Year After Surgery.

Surgical technology international·2025
Same journal

One-Year Clinical Outcomes Following Anterior Cruciate Ligament Reconstruction Augmented with a Reinforced Bioinductive Implant.

Surgical technology international·2025
Same journal

In-Office Skin Grafting for Lower Extremity Wounds.

Surgical technology international·2025
Same journal

Revision ACL Reconstruction with Hamstring Autograft from the Contralateral Leg With and Without Internal Brace: A Comparative Study.

Surgical technology international·2025
See all related articles

Safe laparoscopic surgery requires careful trocar insertion. Blind insertion using the Veress needle is risky, especially after prior surgery. Open laparoscopy with the Hasson trocar is recommended for patients with abdominal scars.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Techniques
  • Laparoscopy

Background:

  • The Veress needle is commonly used for blind trocar insertion in laparoscopic surgery.
  • Blind insertion carries risks, particularly in patients with previous abdominal surgery.
  • The gynecological "bayonet technique" is associated with organ injury risks.

Purpose of the Study:

  • To evaluate the safety and efficacy of different laparoscopic trocar insertion techniques.
  • To establish guidelines for safe laparoscopic entry, especially in patients with prior surgical history.
  • To present a modified Veress needle technique for safe pneumoperitoneum induction.

Main Methods:

  • Review of laparoscopic surgery trends and complication data.
  • Comparison of blind Veress needle insertion versus open laparoscopy with Hasson trocar.

Related Experiment Videos

  • Description of a modified Veress needle technique for specific scenarios.

    • Main Results:

    • Blind Veress needle insertion is associated with significant risks, especially in patients with abdominal scars.
    • Open laparoscopy using the Hasson trocar is preferred for patients with previous abdominal or laparoscopic surgery.
    • A modified Veress needle technique can ensure safe pneumoperitoneum when the peritoneal cavity is intact.

    Conclusions:

    • Open laparoscopy is the preferred method for initial trocar insertion in patients with any anterior abdominal wall scar.
    • The Veress needle technique should be used cautiously, with open laparoscopy being a safer alternative in complex cases.
    • Adherence to specific techniques based on patient history improves laparoscopic surgery safety.