CLOSE VERSUS MODIFIED OPEN TECHNIQUE FOR TROCAR INSERTION IN LAPAROSCOPIC SURGERY

DR. VIKAS BATHLA; Dr. Pukur I Thekdi; Dr. Hard Vasavada; Dr. Shaival Majmudar; Dr. Pratik Koradia

Volume : III, Issue : XII, December - 2014

CLOSE VERSUS MODIFIED OPEN TECHNIQUE FOR TROCAR INSERTION IN LAPAROSCOPIC SURGERY

Dr. Vikas Bathla, Dr. Pukur I Thekdi, Dr. Hard Vasavada, Dr. Shaival Majmudar, Dr. Pratik Koradia

Abstract :

Aims and objectives: The aim of our study was to compare the close and modified open technique of trocar insertion in terms of technique of insertion, patient�s safety, intra operative complications and post operative complications. Study design: The present study was prospective, observational and longitudinal. Protocol of the procedure was formed along with Performa, Patient Information Sheet and Informed Consent Form. Place and duration of study: The present study was carried out in surgery department of C.U Shah medical college, Surendranagar; Gujarat state. The study was carried out from 1st October 2012 till 31st May 2014. Methodology: A total of one hundred patients undergoing emergency and elective laparoscopic surgery were included in our study. Case records of patients was recorded in the Performa containing demographic details, size and site of trocar insertion, technique of trocar insertion, intra operative, early post operative and late post operative complications were noted. Results: Out of 100 patients enrolled mean age was 29.87�14.13. Out of 100 patients in the study; 51 (51%) were Male and 49 (49%) were Female. In terms of on table complications; gastrointestinal injury is more in close method of trocar insertion. Conclusion: We would advocate the modified open technique of trocar insertion as a technique of choice in primary trocar insertion as it counts more on patient safety as compared to the close technique.