A negative pressure–based visualization technique for abdominal Veress needle insertion View Full Text


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Article Info

DATE

2022-03-30

AUTHORS

Takanobu Onoda, Masanori Sato, Kakeru Torii, Koji Inamori, Eisaku Okada, Masashi Nozawa, Norihiko Shiiya, Hidetoshi Wada

ABSTRACT

PurposeAbdominal Veress needle insertion is commonly performed to generate a pneumoperitoneum during laparoscopy. Various safety tests are conducted to confirm accurate needle tip positioning into the abdominal cavity. However, these occasionally yield unclear results and do not help directly visualize the peritoneum puncture. We validated a negative pressure–based technique that helps instantly visualize the moment of the Veress needle entry into the abdominal cavity.MethodsThis study included 761 patients who underwent laparoscopic hernioplasty between 2003 and 2021 that entailed pneumoperitoneum creation using a Veress needle. They were divided into conventional technique (CON) and negative pressure visualization technique (NPV) groups. The patients were propensity score–matched (1:1) to minimize selection bias. To determine whether the technique gave a clear result to the surgeon and precisely informed the moment of entry, failed entry and emphysematous complications were compared between the groups.ResultsThe propensity score–matching yielded 105 pairs in the matched CON and NPV groups. Failed entry did not occur in the NPV group, whereas it occurred in 8 patients (7.6%) in the CON group (p = 0.004). No patient experienced extraperitoneal emphysema in the matched NPV group, whereas 7 patients (6.7%) in the CON group did (p = 0.007). The groups did not differ in the incidence of omental or mesenteric emphysema.ConclusionThe NPV eliminated the incidence of failed entry and decreased the incidence of extraperitoneal emphysema, indicating that it could simply and adequately inform the moment of needle entry into the abdominal cavity. More... »

PAGES

2105-2113

References to SciGraph publications

  • 2008-04-29. Lifting of the umbilicus for the installation of pneumoperitoneum with the Veress needle increases the distance to the retroperitoneal and intraperitoneal structures in SURGICAL ENDOSCOPY
  • 2021-06-22. A novel Veress needle mechanism that reduces overshooting after puncturing the abdominal wall in SURGICAL ENDOSCOPY
  • 2004-10-13. Direct trocar insertion vs veress needle in nonobese patients undergoing laparoscopic procedures: a randomized prospective single-center study in SURGICAL ENDOSCOPY
  • 2008-08-29. Laparoscopic entry—the experience of a range of gynaecological surgeons in GYNECOLOGICAL SURGERY
  • 2001-06. Major and minor injuries during the creation of pneumoperitoneum in SURGICAL ENDOSCOPY
  • 2002-07-01. The European Association for Endoscopic Surgery clinical practice guideline on the pneumoperitoneum for laparoscopic surgery in SURGICAL ENDOSCOPY
  • 2000-09. Is it necessary to lift the abdominal wall when preparing a pneumoperitoneum? in SURGICAL ENDOSCOPY
  • 2013-01-31. Peritoneal adhesion index (PAI): proposal of a score for the “ignored iceberg” of medicine and surgery in WORLD JOURNAL OF EMERGENCY SURGERY
  • 2012-01-06. Laparoscopic transabdominal preperitoneal inguinal hernia repair using needlescopic instruments: a 15-year, single-center experience in 317 patients in SURGICAL ENDOSCOPY
  • 2012-12-03. Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics in BONE MARROW TRANSPLANTATION
  • 2006-05-01. Safe Veress needle insertion in JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00423-022-02504-w

    DOI

    http://dx.doi.org/10.1007/s00423-022-02504-w

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1146728885

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/35355106


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