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

Direct laparoscopic entry using a sharp and dull trocar technique

N W Hasaniya1, T S Kosasa, T Shieh

  • 1Department of Obstetrics and Gynecology, University of Hawaii John A. Burns School of Medicine, Honolulu, USA.

Obstetrics and Gynecology
|October 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

Unique Raman Spectroscopic Fingerprints of B-Cell Non-Hodgkin Lymphoma: Implications for Diagnosis, Prognosis and New Therapies.

Journal of biological and medical sciences·2018
Same author

Effects of platelet transfusion on post cardiopulmonary bypass bleeding.

Japanese heart journal·2001
Same author

Preinsertion local anesthesia at the trocar site improves perioperative pain and decreases costs of laparoscopic cholecystectomy.

Surgical endoscopy·2001
Same author

Scanning electron microscopic changes in the morphology of rabbit pulmonary tissue biopsied following ischemia and reperfusion: a window of opportunity?

Journal of electron microscopy·2000
Same author

Internal packing of helical membrane proteins.

Proceedings of the National Academy of Sciences of the United States of America·2000
Same author

The role of laparoscopy in the management of the infertility patient.

Hawaii medical journal·1999
Same journal

The Political Determinants of Obstetric Prescribing.

Obstetrics and gynecology·2026
Same journal

Glucagon-Like Peptide-1 Receptor Agonists and Risk of Adverse Maternal Pregnancy Outcomes: A Systematic Review and Meta-analysis.

Obstetrics and gynecology·2026
Same journal

Milestones in Motion: Vaginal Birth After Cesarean.

Obstetrics and gynecology·2026
Same journal

Ebola Virus in Pregnancy.

Obstetrics and gynecology·2026
Same journal

A Quality-Improvement Study Evaluating Three Postpartum Prophylactic Oxytocin Rates and Blood Loss After Vaginal Birth.

Obstetrics and gynecology·2026
Same journal

The Effects of Climate Change on Obstetric and Gynecologic Health.

Obstetrics and gynecology·2026
See all related articles

This study introduces a safe and cost-effective laparoscopic entry technique using sharp and dull trocars. The method, successful in 1655 patients, minimizes complications and reduces surgical expenses.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Techniques
  • Laparoscopy

Background:

  • Direct laparoscopic entry traditionally involves sharp trocars, posing potential risks.
  • Previous abdominal or pelvic surgery can complicate laparoscopic access.
  • Disposable trocars contribute significantly to surgical costs.

Purpose of the Study:

  • To describe and evaluate a direct laparoscopic entry technique using sharp and dull trocars.
  • To assess the safety and efficacy of this technique in patients with prior abdominal surgery.
  • To determine the potential for cost reduction through reusable trocars.

Main Methods:

  • A technique involving initial insertion of a sharp trocar with a twisting motion under pressure.
  • Replacement with a dull trocar upon feeling a slight loss of resistance for gradual peritoneal entry.

Related Experiment Videos

  • Utilizing reusable trocars that can be resterilized for multiple uses.

    • Main Results:

    • The technique was successfully applied in 1655 patients.
    • No complications or failures were reported in the patient cohort.
    • The use of resterilizable trocars demonstrated potential for reducing surgical costs.

    Conclusions:

    • Direct laparoscopic entry with sharp and dull trocars is a safe and effective method.
    • This technique is suitable for patients with a history of major abdominal or pelvic surgery.
    • The use of reusable trocars offers a cost-effective alternative to disposable options in laparoscopy.