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A safe and simple method for routine open access in laparoscopic procedures.

T Lafullarde·R Van Hee·T Gys
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Abstract

BACKGROUND: Access to the peritoneal cavity in laparoscopic procedures is generally achieved by means of a pneumoperitoneum, following introduction of a Veress needle. Because this procedure must be done blindly, it is not without visceral or vascular hazards. Therefore, we sought an alternative technique that might obviate these complications. METHODS: In a series of 803 patients, a modified Hasson technique was used to obtain a pneumoperitoneum without risking the complications associated with the introduction of a Veress needle. RESULTS: The modified Hasson technique proved to be feasible in all cases. No visceral or vascular complications resulted, but 10 patients had a transient serous discharge. Follow-up ranged between 5 and 52 months. CONCLUSION: The modified Hasson technique should always be used in laparoscopic procedures.

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HumansIntraoperative ComplicationsLaparoscopesLaparoscopyPneumoperitoneum, ArtificialJournal Article

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T Lafullarde, R Van Hee, T Gys. 1999. A safe and simple method for routine open access in laparoscopic procedures.. https://doi.org/10.1007/s004649901095

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