Page 27 - World Journal of Laparoscopic Surgery

RESEARCH ARTICLE
Comparative Study of Veress Needle and Visiport in Creating

Pneumoperitoneum in Laparoscopic Surgery

2
1
Sheela Prince , Packirisamy Kannan , RK Mishra 3
AbstrAct
Introduction: In minimal access surgery, the technique of first entry in the human body with the telescope and instruments is called the
1,2
access technique. Laparoscopic access is of two types: closed and open access. Here we are analyzing the merits and demerits of two entry
techniques and the incidence of complications in both techniques. Comparison is between the blind technique by using the Veress needle and
the undervision technique by using Visiport.
Aim of study: To assess, evaluate, and compare the incidence of complications in blind and clear view access techniques in laparoscopic surgery.
Materials and methods: A total of 150 cases of laparoscopic surgeries using the Veress needle and 150 cases of laparoscopic surgeries done
by Visiport have been reported. (All laparoscopic surgeries were done in the General Surgery Department in Rashid Hospital from January 1,
2015 to December 12, 2015.)
Result: In this study of comparison, both techniques were seen to have been associated with their own complications. But Visiport is a safe
and faster method of creating pneumoperitoneum, though there was a statistically insignificant major vascular injury. It happened with an
inexperienced surgeon.
Conclusion: Visiport is a safe and faster method of creating pneumoperitoneum in laparoscopic surgery.
Keywords: Laparoscopic access, Pneumoperitoneum, Veress needle, Visiport.
World Journal of Laparoscopic Surgery (2019): 10.5005/jp-journals-10033-1368

IntroductIon 1 Department of General Surgery, Zulekha Hospital, Dubai, United Arab
In minimal access surgery, the technique of first entry in the human Emirates
body with the telescope and instruments is called the access 2 Department of General Surgery, Rashid Hospital, Dubai, United Arab
3
technique. It is important to know that 20% of laparoscopic Emirates
complications are caused at the time of initial access. Developing 3 Department of General Surgery, World Laparoscopy Hospital,
access skill is one of the important achievements for the surgeons Gurugram, Haryana, India
practicing minimal access surgery. First entry access in laparoscopy Corresponding Author: Sheela Prince, Department of General
is of two types: closed and open access. Surgery, Zulekha Hospital, Dubai, United Arab Emirates, Phone: +971
In the closed technique, a Veress needle is commonly used 567600373, e-mail: sheelaprince8@gmail.com
by minimal access surgeons worldwide but it is a blind technique. How to cite this article: Prince S, Kannan P, Mishra RK. Comparative
Nowadays, an entry technique with optical trocars is used for Study of Veress Needle and Visiport in Creating Pneumoperitoneum in
visual guided access into the abdomen. Here we are analyzing the Laparoscopic Surgery. World J Lap Surg 2019;12(2):73–75.
merits and demerits of two entry techniques and the incidence Source of support: Nil

of complications in both techniques. Comparison is between the Conflict of interest: None
blind technique by using the Veress needle and the undervision
technique by using Visiport.
MAterIAls And Methods Selection Criteria

Study Area • Inclusion criteria—all the patients who underwent laparoscopic
Rashid Hospital, General Surgery Department. surgery in General Surgery Department of Rashid Hospital from
January 1, 2015 to December 12, 2015, were included.
Study Population • Exclusion criteria—patients with more than one abdominal
All the patients who underwent laparoscopic surgery in Rashid surgeries earlier and medically unfit patients with multiple
Hospital in General Surgery Department from January 1, 2015 to comorbidities were excluded.
December 12, 2015.
Data Collection
Sample Size Record-based, crossover study, collected patients’ details from
One hundred fifty Veress needle, blind access technique cases of the case file, time out sheets, operation notes, and follow-up files.
laparoscopic surgery and 150 Visiport, clear-view access technique Details of all variables entered in a particular proforma for data
cases of laparoscopic surgery. collection.

© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.
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