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A 5-mm open-entry technique achieves safe, single-step, cosmetic laparoscopic entry
Martin D Keltz1, Jennifer Lang, Inna Berin
1Division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, St. Luke's-Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York, New York 10019, USA. MDKeltz@aol.com
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|September 1, 2007
Summary
A new 5-mm open-entry laparoscopic technique offers a safe alternative to blind Veress needle insertion, reducing risks of bowel and vascular injury. This method achieved a 71% success rate without complications in a pilot study.
Area of Science:
- Minimally Invasive Surgery
- Surgical Techniques
- Laparoscopy
Background:
- Blind Veress needle insertion during laparoscopy carries risks of serious complications like bowel and vascular injury.
- A novel open laparoscopy technique was developed to mitigate these risks.
Purpose of the Study:
- To evaluate the efficacy and safety of a novel 5-mm open-entry laparoscopic technique.
- To assess the complication rate associated with this new method.
Main Methods:
- Retrospective evaluation of 65 consecutive patients undergoing laparoscopy.
- Utilized a novel 5-mm open-entry laparoscopic technique performed by a single surgeon.
- Data collected on success rates, complications, and conversion rates.
Main Results:
- The 5-mm open-entry technique demonstrated a 71% success rate.
- No complications were reported during procedures using the open-entry technique.
- A 29% conversion rate to the standard Veress needle technique was observed.
- Success was not influenced by prior abdominal surgery, patient age, or BMI.
Conclusions:
- The 5-mm open-entry technique is a safe, rapid, and cosmetically favorable method for laparoscopic entry.
- The technique is easily learned and can be converted to the standard Veress needle technique if needed.
- This approach may reduce the risks associated with blind needle insertion.