Safety of direct trocar insertion in various gynecological laparoscopic surgeries

Abstract

Introduction: To create pneumoperitoneum is the first step to any successful laparoscopic procedure. Various techniques for creation of pneumoperitoneum are traditional veress needle, open method, visual entry system and direct trocar insertion (DTI). Despite of rapid increase in the number of laparoscopic surgeries every year there is no clear guideline on the safe method of entry into the abdomen. Objective: The aim of this study is to evaluate safety and complications of direct trocar insertion. Materials and Methods: Retrospective multicenters study of patients who were undergoing various gynecological laparoscopic surgeries. All patients were undergoing DTI access method for primary port insertion. The study focuses on effectiveness of BMI, parity, previous surgery for DTI and evaluates complications. Conclusion: DTI is safe, fast and reliable alternative to primary peritoneal access and creation of pneumoperitoneum. Keywords: Laparoscopy, DTI (direct trocar insertion), Veress needle, Pneumoperitoneum.