RGUHS Nat. J. Pub. Heal. Sci Vol: 14 Issue: 4 eISSN: pISSN
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Sadashiv Patil1 and Nivedita Mitta2
1 Associate Professor, Department of Surgery, St. John’s Medical College, Sarjapur Road, Bengaluru – 560034, Karnataka, India; sadashivpatil12@gmail.com
2 Assistant Professor, Department of Surgery, St. John’s Medical College, Sarjapur Road, Bengaluru – 560034, Karnataka, India
Author for Correspondence :
Dr Sadashiv V Patil
Associate Professor, H No 10-2/82. Anand Nagar, SB College Road, Kalaburgi -585103, Karnataka, India; sadashivpatil12@gmail.com
Abstract
The establishment of pneumoperitoneum is the first step in laparoscopic surgery. Laparoscopic abdominal surgery requires the creation of a successful pneumoperitoneum, as it plays an important role in prevention of complications occurring at the time of entry. Various techniques have been used to create pneumoperitoneum of which Direct trocar insertion is one procedure. A study was carried out to decrease the trocar insertion time in turn facilitating the decrease in operative time. In this study 36 patients underwent different laparoscopic surgeries. The time taken for the insertion of first trocar was recorded. The time taken was 12±2 (10 to 14) minutes in open method and 7±2 (5 to 9) minutes in Direct (blind) trocar insertion. Thus the time taken for direct trocar insertion was less when compared to open method. The direct trocar insertion was faster, requiring less rotatory movements and force and was safe.
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