Use of a No. 11 blade scalpel and reusable blunt trocar to establish pneumoperitoneum: description of a safe and inexpensive technique.
First access is crucial in laparoscopic surgery because of its potentially life-threatening complications. A number of procedures using a variety of instruments have been previously described; however, the safest approach remains uncertain. Herein, we describe a simple and inexpensive method for direct trocar insertion using reusable instruments that was developed over 10 years in a series of 4721 consecutive gynecologic laparoscopic procedures. Observed data revealed that the technique is feasible, rapidly performed, and safe, with a likely cost savings, using a small set of reusable instruments. This procedure should be compared with other access methods in randomized studies to confirm the observed advantages.
Department of Woman and Child Health, Section of Gynecology and Obstetrics, Careggi University Hospital, Florence, Italy.
Alberto
A
Mattei
Massimiliano
M
Fambrini
Gianni
G
Bargelli
Andrea
A
Minervini
Andrea
A
Valeri
Annalisa
A
Pieralli
Karin L
KL
Andersson
Mauro
M
Marchionni
Gianfranco
G
Scarselli
D000328:Adult; D017743:Equipment Reuse; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation* / Q000379:methods; D008297:Male; D008875:Middle Aged; D011028:Pneumoperitoneum, Artificial / Q000295:instrumentation*; D013525:Surgical Instruments; D016896:Treatment Outcome