Use of a No. 11 Blade Scalpel and Reusable Blunt Trocar To Establish Pneumoperitoneum: Description of a Safe and Inexpensive Technique

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• 作者：Alberto Mattei ; Massimiliano Fambrini ; Gianni Bargelli ; Andrea Minervini ; Andrea Valeri ; Annalisa Pieralli ; Karin L. Andersson ; Mauro Marchionni ; Gianfranco Scarselli
• 关键词：Complications ; Cost-saving ; Direct trocar insertion ; Laparoscopy
• 刊名：Journal of Minimally Invasive Gynecology
• 出版年：2010
• 出版时间：November-December 2010
• 年：2010
• 卷：17
• 期：6
• 页码：760-765
• 全文大小：796 K

文摘

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.