COMPARISON OF OPEN (HASSON) AND CLOSED (VERESS NEEDLE) METHODS OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIES

Objectives: To compare Open versus Closed method of creating pneumoperitoneum in terms of first access complications. Study Design: Randomized clinical trial. Place and Duration of Study: Surgical Department, CMH Rawalpindi, from October 2014 to April 2015. Material and Methods: Total 550 P...

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Autores principales:	Amir Iqbal Ali, Shehzad Abbasi, Syed Mukarram Hussain
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	pneumoperitoneum veress needle laparoscopy Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/dc5efa2d2ab7437baf7a5fc97bc06b20
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spelling	oai:doaj.org-article:dc5efa2d2ab7437baf7a5fc97bc06b202021-11-12T06:07:55ZCOMPARISON OF OPEN (HASSON) AND CLOSED (VERESS NEEDLE) METHODS OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIES0030-96482411-8842https://doaj.org/article/dc5efa2d2ab7437baf7a5fc97bc06b202019-04-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2733/2141https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objectives: To compare Open versus Closed method of creating pneumoperitoneum in terms of first access complications. Study Design: Randomized clinical trial. Place and Duration of Study: Surgical Department, CMH Rawalpindi, from October 2014 to April 2015. Material and Methods: Total 550 Patients presenting in surgical OPD and undergoing elective laparoscopic procedures were included and randomly divided into two equal groups by lottery method. In group A, open technique (Hasson cannula) and in group B, closed technique (Veress needle) was used. All patients were monitored during surgery for any first access related complications and this was carried out at regular intervals. Data for each patient was recorded on patient’s proforma. Results: We found better safety profile of open (Hassan) method over close (Veress Needle). Except for more gas leakage in open group (6.2%) as compared to closed (5.1%), all other complications occurred more frequent in closed group. The mean access time in the Open Group (3.2 ± 1.1 minutes) was less than for the Closed Arm (5.4 ± 0.7 minutes). Conclusions: There was difference in frequency of complications in both groups with Open method being safer and rate of complication was less as compared to the close method.Amir Iqbal AliShehzad AbbasiSyed Mukarram HussainArmy Medical College Rawalpindiarticlepneumoperitoneumveress needlelaparoscopyMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 2, Pp 255-261 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	pneumoperitoneum veress needle laparoscopy Medicine R Medicine (General) R5-920
spellingShingle	pneumoperitoneum veress needle laparoscopy Medicine R Medicine (General) R5-920 Amir Iqbal Ali Shehzad Abbasi Syed Mukarram Hussain COMPARISON OF OPEN (HASSON) AND CLOSED (VERESS NEEDLE) METHODS OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIES
description	Objectives: To compare Open versus Closed method of creating pneumoperitoneum in terms of first access complications. Study Design: Randomized clinical trial. Place and Duration of Study: Surgical Department, CMH Rawalpindi, from October 2014 to April 2015. Material and Methods: Total 550 Patients presenting in surgical OPD and undergoing elective laparoscopic procedures were included and randomly divided into two equal groups by lottery method. In group A, open technique (Hasson cannula) and in group B, closed technique (Veress needle) was used. All patients were monitored during surgery for any first access related complications and this was carried out at regular intervals. Data for each patient was recorded on patient’s proforma. Results: We found better safety profile of open (Hassan) method over close (Veress Needle). Except for more gas leakage in open group (6.2%) as compared to closed (5.1%), all other complications occurred more frequent in closed group. The mean access time in the Open Group (3.2 ± 1.1 minutes) was less than for the Closed Arm (5.4 ± 0.7 minutes). Conclusions: There was difference in frequency of complications in both groups with Open method being safer and rate of complication was less as compared to the close method.
format	article
author	Amir Iqbal Ali Shehzad Abbasi Syed Mukarram Hussain
author_facet	Amir Iqbal Ali Shehzad Abbasi Syed Mukarram Hussain
author_sort	Amir Iqbal Ali
title	COMPARISON OF OPEN (HASSON) AND CLOSED (VERESS NEEDLE) METHODS OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIES
title_short	COMPARISON OF OPEN (HASSON) AND CLOSED (VERESS NEEDLE) METHODS OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIES
title_full	COMPARISON OF OPEN (HASSON) AND CLOSED (VERESS NEEDLE) METHODS OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIES
title_fullStr	COMPARISON OF OPEN (HASSON) AND CLOSED (VERESS NEEDLE) METHODS OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIES
title_full_unstemmed	COMPARISON OF OPEN (HASSON) AND CLOSED (VERESS NEEDLE) METHODS OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIES
title_sort	comparison of open (hasson) and closed (veress needle) methods of creating pneumoperitoneum in laparoscopic surgeries
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/dc5efa2d2ab7437baf7a5fc97bc06b20
work_keys_str_mv	AT amiriqbalali comparisonofopenhassonandclosedveressneedlemethodsofcreatingpneumoperitoneuminlaparoscopicsurgeries AT shehzadabbasi comparisonofopenhassonandclosedveressneedlemethodsofcreatingpneumoperitoneuminlaparoscopicsurgeries AT syedmukarramhussain comparisonofopenhassonandclosedveressneedlemethodsofcreatingpneumoperitoneuminlaparoscopicsurgeries
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COMPARISON OF OPEN (HASSON) AND CLOSED (VERESS NEEDLE) METHODS OF CREATING PNEUMOPERITONEUM IN LAPAROSCOPIC SURGERIES

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