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.
Mattei
Alberto
A
Department of Woman and Child Health, Section of Gynecology and Obstetrics, Careggi University Hospital, Florence, Italy.
Fambrini
Massimiliano
M
Bargelli
Gianni
G
Minervini
Andrea
A
Valeri
Andrea
A
Pieralli
Annalisa
A
Andersson
Karin L
KL
Marchionni
Mauro
M
Scarselli
Gianfranco
G
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