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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Related Experiment Video

Updated: Oct 6, 2025

Laparoscopic Technique for Serial Collection of Liver and Mesenteric Lymph Nodes in Macaques
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Open veress assisted technique for laparoscopic entry.

Roberto Peltrini1, Marcello De Luca1, Ruggero Lionetti1

  • 1Department of Public Health, School of Medicine, University of Naples, Naples, Italy.

Journal of Minimal Access Surgery
|January 20, 2022
PubMed
Summary
This summary is machine-generated.

The Open Veress Assisted (OVA) technique offers a safe method for laparoscopic entry, minimizing risks associated with first trocar insertion. This approach proved safe in 324 procedures, with no complications reported.

Keywords:
LaparoscopyVeresspneumoperitoneum

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Area of Science:

  • Minimally invasive surgery
  • Laparoscopic procedures
  • Surgical techniques

Background:

  • Pneumoperitoneum creation is essential for minimally invasive surgery.
  • Iatrogenic injuries during trocar insertion are rare but serious complications.
  • The Open Veress Assisted (OVA) technique aims to enhance safety during initial trocar placement.

Purpose of the Study:

  • To describe the Open Veress Assisted (OVA) technique.
  • To evaluate the safety and utility of the OVA technique in clinical practice.

Main Methods:

  • Detailed description of each step of the OVA technique.
  • Retrospective review of prospectively maintained institutional databases.
  • Analysis of clinical outcomes associated with OVA technique use.

Main Results:

  • The OVA technique was utilized in 324 laparoscopic procedures between December 2018 and July 2021.
  • Procedures included 259 colorectal resections and 24 gastrectomies.
  • No intraoperative or postoperative complications occurred that were related to pneumoperitoneum creation.

Conclusions:

  • The OVA technique represents a safe alternative for laparoscopic entry.
  • It mitigates risks associated with insertion forces, beneficial for patients with prior surgery or atypical trocar placement needs.