Comparison of Abdominal Initial Entry Techniques in Gynecological Laparoscopy

Authors : Elif GUNDOGDU, Taner USTA

Pages : 791-795

Doi:10.16899/jcm.1338911

View : 33 | Download : 38

Publication Date : 2023-09-30

Article Type : Research Paper

Abstract :Objective: The aim of this study is to assess the safety of laparoscopic entry techniques. Materials and Methods: Within the scope of the study, medical records of patients who underwent laparoscopy due to various gynecological indications at our clinic between January 1, 2011, and July 1, 2015, were examined. Evaluation was conducted using our hospital’s electronic database. Results: In the patient cohort, direct trocar placement was preferred in 91.8% insert ignore into journalissuearticles values(1025 patients);, Veress needle placement was used in 7.4% insert ignore into journalissuearticles values(82 patients);, and an open technique was used in 0.8% insert ignore into journalissuearticles values(9 patients);. In terms of entry sites, umbilicus was the most commonly chosen option, being preferred in 97.2% insert ignore into journalissuearticles values(1085 patients); of cases. In 2.4% of patients insert ignore into journalissuearticles values(27 patients);, the midline abdominal trocar was preferred as the initial trocar insertion site. Among these patients, suprapubic incision was preferred in 62% insert ignore into journalissuearticles values(17 patients);, while Lee-Huang point was chosen as the entry site in 38% insert ignore into journalissuearticles values(10 patients);.Looking at the history of previous surgeries, 18.5% insert ignore into journalissuearticles values(206 patients); had a history of prior abdominal surgery, and 3.5% insert ignore into journalissuearticles values(39 patients); had undergone two previous surgical procedures. Only 0.1% insert ignore into journalissuearticles values(1 patient); had undergone three or more abdominal surgeries. Discussion: In conclusion, no clear superiority of one initial entry technique over another has been proven. Despite the extensive literature on laparoscopic entry, debates regarding the most effective method to prevent significant complications continue.
Keywords : Abdominal giriş, Direct trokar girişi, laparoskopi, teknikler, komplikasyon