Creation of Pneumoperitoneum- New Approach

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 12plusmn2 10 to 14 minutes in open method and 7plusmn2 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.