title: Experience with optical trocar in performing laparoscopic procedures.
abstract: We report on the results of laparoscopic procedures in 1187 patients with use of the OPTIVIEW Optical Surgical Obturator, a device that permits visually guided trocar entry without insufflation. Most of these procedures (78%) involved hiatal hernia repairs, and 51% of our patients had a history of previous abdominal procedures. Visualization and pneumoperitoneum were successfully achieved in all patients, including those who had previously undergone multiple upper-midline abdominal procedures. There were three trocar-related injuries and one late complication (0.3%), including two bowel injuries repaired at the time of initial surgery, a mesenteric injury repaired with a clip applier, and an incisional hernia that resulted from placement of the trocar at midline instead of paramedian. Results of this large series indicate that trocar-related complications associated with use of the OPTIVIEW trocar are rare.
authors.affiliation: Department of Surgery, Advanced Surgery Center of Georgia, Canton, USA.
authors.forename: J Barry
authors.initials: JB
authors.lastname: McKernan
authors.forename: Charles R
authors.initials: CR
authors.lastname: Finley
mesh_terms: D000005:Abdomen / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017081:Cholecystectomy, Laparoscopic; D005260:Female; D006551:Hernia, Hiatal / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D055095:Optics and Photonics; D013525:Surgical Instruments