Open Technique Versus Blind Technique in Placement of Primary Ports in Laparoscopic Procedures- A Prospective Cohort Study

Introduction: Laparoscopic access has always been a challenge because it has been associated with severe complications and sometimes fatal also. Aim: To compare open technique versus blind technique in placement of primary port in various laparoscopic procedures in terms of operative time, comp...

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Autores principales: Vivek Pahuja, Nisha Rani, Hershdeep Singh, Kuldip Singh, Pankaj Dugg, Devinder Pal Singh, Prem Chand
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Publicado: JCDR Research and Publications Private Limited 2021
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spelling oai:doaj.org-article:85b8ad8ac0ad451887f0a694d3b28a982021-11-12T09:57:43ZOpen Technique Versus Blind Technique in Placement of Primary Ports in Laparoscopic Procedures- A Prospective Cohort Study10.7860/JCDR/2021/30610.153982249-782X0973-709Xhttps://doaj.org/article/85b8ad8ac0ad451887f0a694d3b28a982021-09-01T00:00:00Zhttps://www.jcdr.net/articles/PDF/15398/30610_CE[Ra1]_F(SHU)_PF1(SC_SL)_PFA(SC_KM)_PN(KM).pdfhttps://doaj.org/toc/2249-782Xhttps://doaj.org/toc/0973-709XIntroduction: Laparoscopic access has always been a challenge because it has been associated with severe complications and sometimes fatal also. Aim: To compare open technique versus blind technique in placement of primary port in various laparoscopic procedures in terms of operative time, complications, ease of use and acceptability. Materials and Methods: This prospective cohort study was conducted at Government Medical College, Patiala, Punjab, India, between June 2014 to August 2016. The study included 100 patients, which were divided into two groups. Group A (n=50) received placement of primary port by open technique and Group B (n=50) received placement of primary port by blind technique. The time taken for access into peritoneal cavity and duration of surgery was noted. Multivariate analysis done using Chi-square test, p-value of less than 0.05 was considered significant. Results: Mean age of patients in group A and group B was 42.66±12.37 years and 43.06±14.67 years, respectively. Majority of patients were females in both groups (n=45 in group A and n=39 in group B). There was no significant difference in time taken for access into peritoneal cavity (p-value>0.05). The duration of hospital stay (in hours) of the patients was 36.96 in Group A and 34.42 in Group B which was not statistically significant. The incidence of intraoperative and postoperative complications was not significant. Most common complication port site infections 3 (6%) in Group A. Conclusion: There was no significant difference between the two techniques with respect to time taken for peritoneal access and complications. In expert hands, both methods are comparable.Vivek PahujaNisha RaniHershdeep SinghKuldip SinghPankaj DuggDevinder Pal SinghPrem ChandJCDR Research and Publications Private Limitedarticlecomplicationsgastrointestinal tractpneumoperitoneumsurgical instrumentsvisual controlMedicineRENJournal of Clinical and Diagnostic Research, Vol 15, Iss 9, Pp PC05-PC07 (2021)
institution DOAJ
collection DOAJ
language EN
topic complications
gastrointestinal tract
pneumoperitoneum
surgical instruments
visual control
Medicine
R
spellingShingle complications
gastrointestinal tract
pneumoperitoneum
surgical instruments
visual control
Medicine
R
Vivek Pahuja
Nisha Rani
Hershdeep Singh
Kuldip Singh
Pankaj Dugg
Devinder Pal Singh
Prem Chand
Open Technique Versus Blind Technique in Placement of Primary Ports in Laparoscopic Procedures- A Prospective Cohort Study
description Introduction: Laparoscopic access has always been a challenge because it has been associated with severe complications and sometimes fatal also. Aim: To compare open technique versus blind technique in placement of primary port in various laparoscopic procedures in terms of operative time, complications, ease of use and acceptability. Materials and Methods: This prospective cohort study was conducted at Government Medical College, Patiala, Punjab, India, between June 2014 to August 2016. The study included 100 patients, which were divided into two groups. Group A (n=50) received placement of primary port by open technique and Group B (n=50) received placement of primary port by blind technique. The time taken for access into peritoneal cavity and duration of surgery was noted. Multivariate analysis done using Chi-square test, p-value of less than 0.05 was considered significant. Results: Mean age of patients in group A and group B was 42.66±12.37 years and 43.06±14.67 years, respectively. Majority of patients were females in both groups (n=45 in group A and n=39 in group B). There was no significant difference in time taken for access into peritoneal cavity (p-value>0.05). The duration of hospital stay (in hours) of the patients was 36.96 in Group A and 34.42 in Group B which was not statistically significant. The incidence of intraoperative and postoperative complications was not significant. Most common complication port site infections 3 (6%) in Group A. Conclusion: There was no significant difference between the two techniques with respect to time taken for peritoneal access and complications. In expert hands, both methods are comparable.
format article
author Vivek Pahuja
Nisha Rani
Hershdeep Singh
Kuldip Singh
Pankaj Dugg
Devinder Pal Singh
Prem Chand
author_facet Vivek Pahuja
Nisha Rani
Hershdeep Singh
Kuldip Singh
Pankaj Dugg
Devinder Pal Singh
Prem Chand
author_sort Vivek Pahuja
title Open Technique Versus Blind Technique in Placement of Primary Ports in Laparoscopic Procedures- A Prospective Cohort Study
title_short Open Technique Versus Blind Technique in Placement of Primary Ports in Laparoscopic Procedures- A Prospective Cohort Study
title_full Open Technique Versus Blind Technique in Placement of Primary Ports in Laparoscopic Procedures- A Prospective Cohort Study
title_fullStr Open Technique Versus Blind Technique in Placement of Primary Ports in Laparoscopic Procedures- A Prospective Cohort Study
title_full_unstemmed Open Technique Versus Blind Technique in Placement of Primary Ports in Laparoscopic Procedures- A Prospective Cohort Study
title_sort open technique versus blind technique in placement of primary ports in laparoscopic procedures- a prospective cohort study
publisher JCDR Research and Publications Private Limited
publishDate 2021
url https://doaj.org/article/85b8ad8ac0ad451887f0a694d3b28a98
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