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- W2061738161 abstract "Study Objective: To compare between direct trocar (DTI) and Veress needle (VN) insertion for creation of pneumoperitoneum at laparoscopy as regards the duration of the procedure, volume of gas consumption, ease of performance and frequency of complications. Design: A randomized clinical trial. Setting: Department of Obstetrics and Gynecology, Women's Health Centre, Assuit University, Egypt. Patients: one thousand patients scheduled to undergo diagnostic laparoscopy were recruited for the study. Intervention: They were randomly allocated to either direct trocar insertion (group A = 500) or Veress needle (group B = 500) for pneumoperitoneum .The laparoscopic procedures were performed by the same surgeon Outcomes: duration of the procedure, volume of gas consumption, ease of performance and frequency of complications. Measurements and Main Results: Patients in the two groups had similar demographic characteristics. The mean duration of the procedure was significantly shorter in group (A) than in group (B)(2.2 ± 0.7 Vs 8.2 ± 1.4 minutes) respectively .The mean gas consumption was significantly less in group (A) than in group B(2.6 ± 0.9 Vs 8.4 ± 2.6 liters) respectively No major complications in both groups. Minor complications were significantly less in DTI group (0.4%) than in VN group (14%). Conclusion: Direct insertion of the trocar is a safe alternative to Veress needle insertion technique for the creation of pneumoperitoneum. Such an approach has further advantages such as less cost/instrumentation and rapid creation of pneumoperitoneum." @default.
- W2061738161 created "2016-06-24" @default.
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- W2061738161 date "2009-11-01" @default.
- W2061738161 modified "2023-09-23" @default.
- W2061738161 title "Direct Trocar Versus Veress Needle Insertion for Laparoscopy: A Randomized Clinical Trial" @default.
- W2061738161 doi "https://doi.org/10.1016/j.jmig.2009.08.013" @default.
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