title: The Use of Veress Needle and 10-mm Trocar (VN) Versus Direct Trocar Insertion (DTI) in the Beginning of Laparoscopy
abstract: Seven hundred fifty-six women were randomly divided into two groups. Group 1 (378 cases) were operated on via laparoscopy with VN and group 2 (378 cases) with DTI technique. Complications were compared between the two groups. No major complications occurred. Minor complications were: a problem with insufflation of CO2 (19 VN, 2 DTI, P<0.001); more than one insertion of the instrument (18 VN, 13 DTI, NS); need to alter the technique (6 VN, 10 DTI, NS); and penetration of the fascia but not the peritoneum by trocar sleeve (2 VN, 19 DTI, P<0.001). The significant differences found presented no serious problems, and we concluded that both methods were satisfactory.
authors.affiliation: Dept. of Ob/Gyn - Tehran University of Medical Sciences, Endoscopy and Fertility Research Center, Mirza Kouchek Khan Hospital, P.O. Box 14155-1689, Tehran, Iran.
authors.initials: H
authors.lastname: Dabirashrafi
authors.initials: K
authors.lastname: Mohammad
authors.initials: NM
authors.lastname: Tabrizi
authors.initials: A
authors.lastname: Azari
authors.initials: Y
authors.lastname: Behjatnia