SAFETY OF HASSON`S TECHNIQUE IN LAPAROSCOPIC CHOLECYSTECTOMY

Objective: To evaluate the safety profile of Hasson’s technique of laparoscopic port access in patients undergoing laparoscopic cholecystectomy. Study Design: Cross-sectional study. Place and Duration of Study: Department of general surgery, Combined Military Hospital Lahore, from Oct 2014 to...

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Autores principales:	Farhan Ahmed Majeed, Hassan Shabbir, Tehmina Rehman, Muhammad Nadeem, Ch Muhammad Qamar-ul-Haq, Umar Bashir, Ayema Shabbir
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	hasson technique laparoscopic cholecystectomy pneumoperitoneum Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/9c7f4659301e4dc6830b10a172acebde
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spelling	oai:doaj.org-article:9c7f4659301e4dc6830b10a172acebde2021-12-02T17:41:15ZSAFETY OF HASSON`S TECHNIQUE IN LAPAROSCOPIC CHOLECYSTECTOMY0030-96482411-8842https://doaj.org/article/9c7f4659301e4dc6830b10a172acebde2020-10-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/5586https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To evaluate the safety profile of Hasson’s technique of laparoscopic port access in patients undergoing laparoscopic cholecystectomy. Study Design: Cross-sectional study. Place and Duration of Study: Department of general surgery, Combined Military Hospital Lahore, from Oct 2014 to Aug 2018. Methodology: A total of 1037 patients with acute or chronic cholecystitis who were scheduled for laparoscopic cholecystectomy were included. Hasson (open) technique was used to insert first laparoscopy port for creation of pneumoperitoneum. Following laparoscopic cholecystectomy, data of intra-operative and post-operative complications was noted. Patients were followed during hospital stay to evaluate any procedure related injury. Follow-up was done at up-to six months to determine wound infections and formation of umbilical hernia. Results: Mean age of the patients was 44.65 ± 8.98 years. Out of 1037 patients, procedure was simple in 655 (63.16%) patients and complex in 382 (36.83%) patients due to the presence of inflammatory adhesions and anatomic access. There was no intra-abdominal injury, omental injury, vascular injury or gut perforation. Port-site infections were diagnosed in 6 (0.57%) patients during 06 months’ follow-up. Umbilical hernia was diagnosed in only 1 (0.09%) patient. Conclusion: We found that Hasson technique of first laparoscopy port access for creation of pneumoperitoneum was a safe technique with minimum number access related complications.Farhan Ahmed MajeedHassan ShabbirTehmina RehmanMuhammad NadeemCh Muhammad Qamar-ul-HaqUmar BashirAyema ShabbirArmy Medical College Rawalpindiarticlehasson techniquelaparoscopic cholecystectomypneumoperitoneumMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 5, Pp 1465-1468 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	hasson technique laparoscopic cholecystectomy pneumoperitoneum Medicine R Medicine (General) R5-920
spellingShingle	hasson technique laparoscopic cholecystectomy pneumoperitoneum Medicine R Medicine (General) R5-920 Farhan Ahmed Majeed Hassan Shabbir Tehmina Rehman Muhammad Nadeem Ch Muhammad Qamar-ul-Haq Umar Bashir Ayema Shabbir SAFETY OF HASSON`S TECHNIQUE IN LAPAROSCOPIC CHOLECYSTECTOMY
description	Objective: To evaluate the safety profile of Hasson’s technique of laparoscopic port access in patients undergoing laparoscopic cholecystectomy. Study Design: Cross-sectional study. Place and Duration of Study: Department of general surgery, Combined Military Hospital Lahore, from Oct 2014 to Aug 2018. Methodology: A total of 1037 patients with acute or chronic cholecystitis who were scheduled for laparoscopic cholecystectomy were included. Hasson (open) technique was used to insert first laparoscopy port for creation of pneumoperitoneum. Following laparoscopic cholecystectomy, data of intra-operative and post-operative complications was noted. Patients were followed during hospital stay to evaluate any procedure related injury. Follow-up was done at up-to six months to determine wound infections and formation of umbilical hernia. Results: Mean age of the patients was 44.65 ± 8.98 years. Out of 1037 patients, procedure was simple in 655 (63.16%) patients and complex in 382 (36.83%) patients due to the presence of inflammatory adhesions and anatomic access. There was no intra-abdominal injury, omental injury, vascular injury or gut perforation. Port-site infections were diagnosed in 6 (0.57%) patients during 06 months’ follow-up. Umbilical hernia was diagnosed in only 1 (0.09%) patient. Conclusion: We found that Hasson technique of first laparoscopy port access for creation of pneumoperitoneum was a safe technique with minimum number access related complications.
format	article
author	Farhan Ahmed Majeed Hassan Shabbir Tehmina Rehman Muhammad Nadeem Ch Muhammad Qamar-ul-Haq Umar Bashir Ayema Shabbir
author_facet	Farhan Ahmed Majeed Hassan Shabbir Tehmina Rehman Muhammad Nadeem Ch Muhammad Qamar-ul-Haq Umar Bashir Ayema Shabbir
author_sort	Farhan Ahmed Majeed
title	SAFETY OF HASSON`S TECHNIQUE IN LAPAROSCOPIC CHOLECYSTECTOMY
title_short	SAFETY OF HASSON`S TECHNIQUE IN LAPAROSCOPIC CHOLECYSTECTOMY
title_full	SAFETY OF HASSON`S TECHNIQUE IN LAPAROSCOPIC CHOLECYSTECTOMY
title_fullStr	SAFETY OF HASSON`S TECHNIQUE IN LAPAROSCOPIC CHOLECYSTECTOMY
title_full_unstemmed	SAFETY OF HASSON`S TECHNIQUE IN LAPAROSCOPIC CHOLECYSTECTOMY
title_sort	safety of hasson`s technique in laparoscopic cholecystectomy
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/9c7f4659301e4dc6830b10a172acebde
work_keys_str_mv	AT farhanahmedmajeed safetyofhassonstechniqueinlaparoscopiccholecystectomy AT hassanshabbir safetyofhassonstechniqueinlaparoscopiccholecystectomy AT tehminarehman safetyofhassonstechniqueinlaparoscopiccholecystectomy AT muhammadnadeem safetyofhassonstechniqueinlaparoscopiccholecystectomy AT chmuhammadqamarulhaq safetyofhassonstechniqueinlaparoscopiccholecystectomy AT umarbashir safetyofhassonstechniqueinlaparoscopiccholecystectomy AT ayemashabbir safetyofhassonstechniqueinlaparoscopiccholecystectomy
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SAFETY OF HASSON`S TECHNIQUE IN LAPAROSCOPIC CHOLECYSTECTOMY

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