Page 35 - Journal of WALS

Anaam Majeed Hasson

While obesity was considered a relative contraindication to 11. Al-Khashroum M (2010). Non-umbilical entry sites for
laparoscopy, it should no longer be considered a contra- gynecologic laparoscopy. Epharmapedia (http://www.
epharmapedia.com/news/details/11/52/Non Umbilical_ Entry_
indication to laparoscopic surgery. Sites_for_Gynecologic_Laparoscopy.html?lang=en).
12. European Society for gynaecological endoscopy (ESGE) clinical
RECOMMENDATIONS FOR PRACTICE practice guideline (2002) (http://esge.org/sites/attachment.
php?id=469)
On the basis of the available evidence, there appears to be no 13. Azevedo JLMC, et al (2009). Injuries caused by Veress needle
benefit in terms of safety of one technique over another. No insertion for creation of pneumoperitoneum: A systematic
definitive conclusions can be drawn to confirm the relative safety literature review. Surg Endosc (www.cirurgiaonline.med.br/
of any particular technique. METAsurgendosc.pdf).
In everyday clinical practice, the individual laparoscopic 14. Andrew IB. Laparoscopic access and instrument ergonomics
(http://www.aagl.org/content/PDF/P1BrillB.pdf).
may continue his preferred entry technique. Furthermore, it is 15. Society of Obstetricians and Gynaecologists of Canada (SOGC)
recommended that every laparoscopic surgeon requires clinical practice guideline (2007). Laparoscopic entry: A review
additional skills in the practice of at least one alternative entry of techniques, technologies, and complications (http://
www.sogc.org/guidelines/documents/193E-CPG-May 2007. pdf).
method, site or instrument as a backup in case the preferred 16. O Shea R, Lam C (2006). The Royal Australian and New Zealand
,
method, site or instrument cannot establish an uneventful entry College of Obstetricians and Gynaecologists, Vol 8, No 2, Winter
in the abdominal cavity. 2006 (http://www.ranzcog.edu.au/publications/o-g_pdfs/OG-
Winter-2006/laparoscopic-surgery.pdf).
REFERENCES 17. Schwartz ML, Drew RL, Andersen JN. Induction of pneumo-
peritoneum in morbidly obese patients. Obes Surg Aug
1. Center for Disease Control and Prevention (2010) (http:// 2003;13(4):601-04; discussion 604.
www.cdc.gov/obesity/defining.html). 18. Sharp HT, Dodson MK, Draper ML, Watts DA, Doucette RC,
2. Nguyen NT, Wolfe BM. The physiologic effects of Hurd WW (2002). Complications associated with optical access
pneumoperitoneum in the morbidly obese. Annals of Surgery laparoscopic trocars, obstetrics and gynecology: April
Feb 2005;241(2). 2002;99(4):553-55 (http://journals.lww.com/greenjournal/
3. Mishra RK. Textbook of practical laparoscopic surgery (2nd Fulltext/2002/04000/Nicotine_Patches_for_Pregnant_
revised ed), McGraw-Hill Education-Europe 2010. Smokers__A.7.aspx).
4. Heinberg EM, Crawford BL, Weitzen SH, Bonilla DJ. 19. Holtz G. Laparoscopy in the massively obese female. Obstet
Total laparoscopic hysterectomy in obese versus nonobese Gynecol 1987;69:423-24.
patients. Obstetrics and Gynecology April 2004;103(4): 20. Halpern NB. Access problems in laparoscopic cholecystectomy:
674-80. Postoperative adhesions, obesity, and liver disorders. Semin
5. Aurora Pryor A, Yoo J. Abdominal access techniques used in Laparosc Surg 1998;5:92-106.
laparoscopic surgery. http://www.uptodate.com/contents/ 21. Jansen FW, Kolkman W, de Bakkum EA, Kroon CD, Trimbos-
abdominal-access-techniques-used-in-laparoscopic-surgery, Kemper TC, Trimbos JB. Complications of laparoscopy: An
2010. inquiry about closed-versus open-entry technique. Am J Obsetet
6. Cuschieri A. Minimal access surgery and the future of Gynecol 2004;190:634-38.
interventional laparoscopy. Am J Surg 1991;161:404-07. 22. Champault G, Cazacu F, Taffinder N. Serious trocar accidents
7. Ibrahim HM, Shaaban HS, Al-Kandari AM, Gill IS. Difficulties in laparoscopic surgery: A French survey of 103,852 operations.
in laparoscopic access. In: Al-Kandari AM, Gill IS (Eds). Difficult Surg Endosc 1996;6:367-70.
conditions in laparoscopic urologic surgery, © Springer-Verlag 23. Phillips G, Garry R, Kumar C, Reich H. How much gas is
London Limited 2011. required for initial insufflation at laparoscopy? Gynaecol Endosc
8. Mayol J, Garcia-Agular J, Ortiz-Oshiro E, De-Diego Carmona 1999;8: 369-74 Wiley online library.
JA, Fernandez-Represa JA. Risks of the minimal access approach 24. Wolfe WM, Pasic R. Transuterine insertion of Veress needle in
for laparoscopic surgery: Multivariate analysis of morbidity laparoscopy. Obstet Gynecol Mar 1990;75(3 Pt1):456-57.
related to umbilical trocar insertion. World J Surg 1997;21: 25. Carter SJ, Josette Bettany-Saltikov J (2010). Safe and effective
529-33. laparoscopic entry technique in the obese woman undergoing
9. El Sayes S, Abdel Aziz T, Mansour S, El Tabbakh N, gynaecological laparoscopic surgery—a systematic review (http:/
Sanad H. (OBG net, April 2003) Safety of laparoscopy in obese /www.rcn.org.uk/_data/assets/pdf_file/0006/318777/
infertile women (http://www.obgyn.net/hysteroscopy/articles/ 2010_RCN_research_2.2.2.pdf).
el-tabbakh-lapobese.htm). 26. Sajid M, Ul Lateef A, Misbah J, Rehman S. Veress needle related
10. Hurd WW (2009). Gynecologic laparoscopy. (http:// complications in laparoscopic surgery: Our experience APMC
emedicine.medscape.com/article/265201-overview). January-June 2010;4(1).

102
JAYPEE