Journal of Gynecological Endoscopy and Surgery
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REVIEW ARTICLE
Year : 2009  |  Volume : 1  |  Issue : 1  |  Page : 4-11

Entry complications in laparoscopic surgery


Nirmiti Fertility and IVF Centre, Thane, India

Correspondence Address:
S Krishnakumar
Nirmiti Fertility and IVF Centre, 1st Floor, Parasmani, Opp Shahu Market, Near Naupada Police Station, MG Road, Naupada, Thane West - 400 602
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-1216.51902

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Objective: To review the complications associated with laparoscopic surgery and provide clinical direction regarding the best practice based on the best available evidence. Options: The laparoscopic entry techniques and technologies reviewed include the classic pneumoperitoneum (Veress/trocar), the open (Hasson), the direct trocar insertion, the use of disposable shielded trocars, radially expanding trocars and visual entry systems. Evidence: Medline, Pubmed and Cochrane Databases were searched for English language articles published before December 2008. Conclusions: It is an evidence based fact that minimal access surgery is superior to conventional open surgery since this is beneficial to the women, community and the healthcare system.Over the past 50 years, many techniques, technologies and guidelines have been introduced to eliminate the risks associated with laparoscopic entry. No single technique or instrument has been proved to eliminate laparoscopic entry associated injury. Proper evaluation of the women, supported by surgical skills and good knowledge of the technology and instrumentation is the keystone to safe access and prevention of complications during laparoscopic surgery.


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