Abstract

Abstract Background: The background of this investigation is based on a common surgical problem:The access in laparoscopic surgery is more difficult in women with previous abdominopelvic surgery, since adhesions and viscera could be close to the point of trocar insertion. Purpose: The authors analyzed the safety and the efficacy of a modified direct optical entry (DOE) method versus the Hasson’s method by open laparoscopy (OL) in women with previous abdominopelvic surgery in a preliminary prospective case–control study. Materials and methods: A total of 168 women underwent laparoscopic surgery in university-affiliated hospitals: 86 were assigned to abdominal DOE (group A) and 82 to OL (group B).The main outcome measures were statistically compared: time required for entry into abdomen, blood loss, and occurrence of vascular and/or bowel injury.All patients had an intraperitoneal view of the primary port site during surgical procedure. Results: Statistical differences, in favor of the DOE group (P < .01), were found in duration of entry and blood loss.The vascular and bowel injuries in OL versus DOE were not statistically different. Conclusions: Obtaining access to the peritoneal cavity in laparoscopic surgery is more difficult in patients with previous abdominopelvic surgery, since it can become a difficult, time-consuming, and occasionally hazardous procedure. The study results suggest that DOE is advantageous when compared with OL in terms of saving time enabling a safe and expeditious visually guided entry for laparoscopy.

Autore Pugliese

• Guido Marcello

Tutti gli autori

• Tinelli A. , Malvasi A. , Guido M. , Tsin D.A. , Hudelist G. , Stark M. , Mettler L.

Titolo volume/Rivista

SURGICAL INNOVATION

Anno di pubblicazione

2011

ISSN

1553-3506

ISBN

Non Disponibile

Numero di citazioni Wos

13

Ultimo Aggiornamento Citazioni

23/04/2018

Numero di citazioni Scopus

26

Ultimo Aggiornamento Citazioni

23/04/2018

Settori ERC

Non Disponibile

Codici ASJC

Non Disponibile