Techniques of Laparoscopic Needle Entry

Abstract

<h3>Study Objective</h3> Demonstrate techniques of laparoscopic large needle entry when using 5mm port-sites. <h3>Design</h3> 10 randomly assigned patients undergoing laparoscopic hysterectomy were selected in the past 3 months. 5 of the patient's surgery were recorded using the backloading needle technique and the other 5 patient's surgery were recorded using the vaginal approach. The techniques performed were based on surgeon's preference. The videos were only recorded during the introduction of a CT-1 needle into the abdomen when only 5mm trocars were present. <h3>Setting</h3> Academic Private Hospital in South Florida in the Main Operating Room in lithotomy position. <h3>Patients or Participants</h3> 10 randomly assigned patients undergoing laparoscopic hysterectomy. 5 of the patient's surgery were recorded using the backloading needle technique and the other 5 patient's surgery were recorded using the vaginal approach. <h3>Interventions</h3> None. <h3>Measurements and Main Results</h3> one video from each technique from each technique was selected for this educational. presentation based on quality of the image and demonstration of the technique. These demonstrate good alternative techniques of introduction of large needle into the abdomen without the need to extend the skin or fascial incision. These techniques are easy to incorporate in the gynecologic surgical practice. <h3>Conclusion</h3> There are two main techniques for introducing a large suture needle through the abdomen when using 5mm port-site while decreasing the risk of port-site incisional hernias and further extending surgery time for fascial closure at the end of the case.