Objectives: To describe a modified curved deep bidirectional intra-umbilical vertical incision for primary trocar insertion and prospectively compare its intraoperative postoperative outcomes with infra-umbilical in gynecologic laparoscopy. Methods: Between August 2019 March 2021, 110 patients subjected to direct technique laparoscopic intervention were classified into two groups. Group A compr...

OBJECTIVE To provide clinical direction, based on the best evidence available, on laparoscopic entry techniques and technologies and their associated complications. OPTIONS The laparoscopic entry techniques and technologies reviewed in formulating this guideline include the classic pneumoperitoneum (Veress/trocar), the open (Hasson), the direct trocar insertion, the use of disposable shielded...

Although laparoscopy is one of the most common surgical procedures done today, bowel perforations can and do occur during the initial insertion of the Veress needle and/or trocar. Recent advances in microlaparoscopy have reduced the morbidity of this complication when encountered. We report a case of small bowel perforation following insertion of a Veress needle with its 2 mm trocar and our min...

A variety of surgical meshes are available to correct pelvic organ prolapse. This article discusses benefits and risks of vaginal mesh use. Emphasis is placed on the appropriate surgical technique to improve outcomes and minimize mesh complications. Placement options are reviewed with the discussion of self-tailored mesh, trocar-based mesh kits, and non-trocar mesh kits. This article also revie...

INTRODUCTION The first videolaparoscopic nephrectomy in children was performed in 1992, and since then, little experience, and small series of pediatric patients have been reported. The technique, described by Clayman and accepted worldwide, requires the insertion of 4 or 5 trocars. Introduction of trocars is an important cause of complication in videolaparoscopic surgery. The authors report la...

Objective. Despite the advantages of laparoscopic cholecystectomy (LC), postoperative pain remains a major complaint for many patients. In this study, in patients undergoing LC, the application of LC via incisional bupivacaine and low inflation pressure, alone or combined, and a comparison of the effects on postoperative pain has been purposed. Methods. Patients were randomly assigned into the ...

Branco et al. (1) describe two cases of injuries during laparoscopic renal surgery; both recognized immediately and repaired laparoscopically. Laparoscopic entry complications are an uncommon but potentially life-threatening complication of laparoscopic surgery. Most such injuries occur during initial trocar insertion and most commonly involve major vessels and/or bowel. Failing to recognize th...

BACKGROUND Large cystic ovarian masses pose technical challenges to the laparoscopic surgeon. Removing large, potentially malignant specimens must be done with care to avoid the leakage of cyst fluid into the abdominal cavity. CASE We present the case of a large ovarian cystic mass treated laparoscopically with intentional trocar puncture of the mass to drain and remove the mass. DISCUSSIO...

BACKGROUND AND OBJECTIVES Trocar-site incisional hernia following laparoscopic ventral hernia repair is reported to have a relatively high incidence. The main reasons are trocar diameter and design, pre-existing fascial defects, and some operation- and patient-related factors. The aim of this article to show a new technique of ventral hernia repair that could prevent trocar site incisional hern...

Most of the reported vascular injuries in laparoscopic appendectomies occur during trocar or Veress needle insertions. As laparoscopy continues to evolve, it is essential that surgeons report unusual complications in an effort to raise awareness and guide management of any iatrogenic injury incurred during minimally-invasive procedures. We report the case of a patient who sustained a major non-...