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Mandavi Rai

           Table 7: Incidence of laparoscopic complications according to     8.  Wolfe WM, Pasic R. Trasuterine insertion of Veress needle
                         blunt trocar (total no. 30)              in laparoscopy. Obset Gynecol 1990;75:456­457.
           Laparoscopic complications          No. of patients    9.  Tooh B, Sen R, Abbott J. An evaluation of four tests used to
           Vascular injury                     2                  ascertain Veress needle placement at closed laparoscopy.
                                                                  J Minim Invasive Gynecol 2005;12:153­158.
           Visceral injury                     0                10.  Richardson RF, Sutton CJG. Complications of first entry:
           Preperitoneal insufflations          0                  a prospective laparoscopic audit. Gynaecol Endosc 1999;8:
           Gas embolism                        0                  327­334.
           Bradycardia                                          11.  Vilos GA, Artin T, Temamian A, Laberge PY. SOGC clinical
           Total                               2 (10%)            practice guideline. J SOGC 2007;193:433­445.
                                                                12.  Sutton CJG, Philip K. Preventing gynaecological injury. The
          skills and reasonably good knowledge of the technology   Royal College of Obstetricians and Gynaecologist. Guideline
          of the instruments remain to be the cornerstone for safe   No. 48 2007:1­10.
          access and success in minimal access surgery.         13.  Audebert AJ, Gomel V. Role of microlaparoscopy in diagnosis
             For initial peritoneal access, we suggest that surgeons   of peritoneal and visceral adhesions and in prevention of
          should adhere to the technique with which they have the   bowl injury associated with blind trocar insertion. Fertil
                                                                  Steril 2000;73:631­635.
          most experience. Overall, complication rates for laparos­    14.  Hasson HM. A modified instrument and method for lapa­
          copic access are not significantly difference between the   roscopy. Am J Obstst Gynecol 1971;110:886­887.
          Hasson and Veress needle techniques for abdominal     15.  Catarci M, Carlini M, Santioro E. Major and minor injuries
          insufflation when performed by experienced surgeons;    during creation of pneumopertoneum, a multicentre study
          however, the surgeon should be familiar with alternative   of 12919 cases. Surg Endosc 2001;15:566­569.
          technique.                                            16.  Soper NJ, Swanstrom LL, Eubanks WS, editors. Mastery of
                                                                  endoscopic and laparoscopic surgry. 2nd ed. Philadelphia:
                                                                  Lippincott, Williams and Wilkins; 2005.
          REFERENCES                                            17.  Molly D, Kalloo PD, Cooper M. Laparoscopy entry: a litera­
            1.  Jansen FW, Kolman W, Bakkum EA, Trimpos T, Trimpos JB.   ture review and analysis of techniques and complications of
              Complications of laparoscopy: an inquiry about closed vs   primary port entry. Aust NZJ Obstet Gynaecol 2002;14:365­374.
              open entry technique. Am J Obstet Gynecol 2004;190:634­638.    18.  Savill LE, Wood MS. Laparoscopy and major retroperitoneal
            2.  Yuzpe AA. Pneumoperitoneum needle and trocar injuries in   vascular injuries. Surg Endosc 1995;9:1096­1110.
              laparoscopy: a survey on possible contributing factors and     19.  Wellis T. Shielded trocars and needles used for abdominal
              prevention. J Reprod Med 1990;35:485­490.           access during laparoscopy. Rockville MD; Department of
            3.  Garry R. Towards evidence based laparoscopic entry tech­  Health and Human Services; 1996.
              niques: clinical problems and dilemma. Gynecol Endosc     20.  Mohamed AS. Laparoscopic entry: techniques complications
              1999;8:315­326.                                     and recommendations for prevention of laparoscopic injury.
            4.  Hakki­Siren, Kurki T. A nationwide analysis of laparoscopic   Laparoscopy Hospital, India. Thi­Qar Med J 2010;4(3):62­74
              complications. Obstet Gynecol 1997;89:108­112.    21.  Rafi A. Abdominal field block: a new approach via the lumbar
            5.  Palmer R. Safety in laparoscopy. J Reprod Med 1974;13:1­5.  triangle. Anaesthesia 2001;56:102426.
            6.  Tulikangas RK, NIclas A, Falcone T, Price L. Anatomy of     22.  Hebbard P, Fujiwara Y, Shibata Y, Royse C. Ultrasound­
              the left upper quadrant for cannula insertion. J Am Assoc   guided transversus abdominis plane block. Anaesth Inten
              Gynecol Laparosc 2000;7:21­24.                      Care 2007;35:616­617.
            7.  Hurd WW, Bude RO, DeLancey JO, Pearl ML. The relationship     23.  Ahmad G, Duffy JMN, Phillips K, Watson A. Laparoscopic
              of the umbilicus to the aortic bifurcation: complications for   entry techniques. Cochrane database of systematic reviews
              laparoscopic technique. Obstet Gynecol 1992;80:48­51.  no. 162, Article ID CD006583, 2008.

























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