Abstract
Laparoscopic entry was prospectively assessed across a range of gynaecological surgeons working in a university teaching hospital to examine technique, difficulties experienced with entry and factors contributing to difficult laparoscopic entry. Details of 586 laparoscopies were obtained. Closed entry was used in 94.4% and open entry in 4.8%. Difficult laparoscopic entry occurred in 16.2% of cases. One or more entry tests were non-confirmatory in 21% of entries. Women weighing >100 kg had a higher rate of multiple Veres needle insertions than women weighing <100 kg (p = 0.006, odds ratio 3.06). Junior surgeons experienced more difficulty with laparoscopic entry than their more senior colleagues (p = 0.01). The laparoscopic entry complication rate observed intra-operatively was 0.68% (n = 4).
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