Abstract
Introduction Laparoscopy today is a common procedure in many surgical specialities, majority of complications arising from laparoscopy are often related to initial entry into the abdomen. Access related major complications include injury to viscera and vasculature while minor complications also occur such as postoperative wound infection, subcutaneous emphysema, and extraperitoneal insufflation. There is no clear consensus as to the optimal method of laparoscopic entry into the peritoneal cavity. Objectives We aimed to compare safety and efficacy of Direct trocar insertion versus Veress needle technique in laparoscopic surgery. Material and methods This prospective study was conducted on hundered patients who underwent laparoscopic surgery in our surgical unit at University of health Sciences from Jan 2015 to Oct 2016. Cases were randomly divided by sealed envelope method into two groups- 50 cases of direct trocar insertion and 50 cases of veress needle technique. Intraoperative access related parameters were recorded and compared. Data were analyzed with Students t and chi-squared tests. P value of
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