Abdominal access in laparoscopic surgery of obese patients: a novel abdominal access technique.

IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Annals of Saudi Medicine Pub Date : 2023-07-01 Epub Date: 2023-08-03 DOI:10.5144/0256-4947.2023.236
Mesut Polat, Adnan Incebiyik, Omer Tammo
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引用次数: 0

Abstract

Background: An important step in laparoscopic surgery is abdominal access. Several abdominal access techniques have been described to reduce complications. We compare our novel abdominal access technique (MESAD) with other abdominal access techniques, particularly to reduce complications in obese patients.

Objective: Compare the MESAD method and other methods we use for abdominal access in gynecologic laparoscopic surgery of obese patients DESIGN: Retrospective SETTING: Gynecology department in university hospital PATIENTS AND METHODS: Patients who underwent abdominal access by the MESAD technique, the Veress needle technique, and the Hasson technique were included in our study. In addition to demographic data, minor and major complications, number of unsuccessful attempts, conversion to another technique, and abdominal access times were collected from all patient files.

Main outcome measures: Clinical data and complications SAMPLE SIZE: 66 patients, 26 by MESAD technique, 24 by the Veress needle technique, and 16 by the Hasson technique.

Results: There were two major complications (one in the Veress group and one in the Hasson technique group) and 7 minor complications. No significant difference was found between the groups in terms of complications (P=.477, P=.476, respectively). The fastest technique for abdominal access was in the MESAD technique whereas the slowest was in the Hasson (P<.001). The failure of abdominal access and subsequent conversion to another technique was most common in the Veress group. However, no significant difference was found between the groups (P=.092).

Conclusions: The MESAD technique is an easy method to both learn and teach. We think that the low major-minor complication rates in the MESAD technique will allow surgeons to reduce their anxiety at the first entry and to perform a more comfortable operation.

Limitations: Retrospective CONFLICT OF INTEREST: None.

肥胖患者腹腔镜手术中的腹部通路:一种新的腹部通路技术。
背景:腹腔镜手术的一个重要步骤是腹部入路。已经描述了几种腹部入路技术来减少并发症。我们将我们的新型腹部通路技术(MESAD)与其他腹部通路技术进行了比较,特别是为了减少肥胖患者的并发症。目的:比较我们在肥胖患者妇科腹腔镜手术中使用的MESAD方法和其他方法。设计:回顾性设置:大学医院妇科患者和方法:我们的研究包括采用MESAD技术、Veress针技术和Hasson技术进行腹部入路的患者。除了人口统计数据外,还从所有患者档案中收集了次要和主要并发症、尝试失败的次数、转换为另一种技术以及腹部接触时间。主要结果指标:临床数据和并发症样本量:66例,MESAD技术26例,Veress针技术24例,Hasson技术16例。结果:主要并发症2例(Veress组1例,Hasson技术组1例),次要并发症7例。在并发症方面,两组之间没有发现显著差异(分别为P=.477和P=.476)。最快的腹部入路技术是MESAD技术,而最慢的是Hasson技术(PP=0.092)。结论:MESAD技术是一种既容易学习又容易教学的方法。我们认为,MESAD技术中较低的主要-次要并发症发生率将使外科医生在第一次进入时减少焦虑,并进行更舒适的手术。限制:追溯性利益冲突:无。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of Saudi Medicine
Annals of Saudi Medicine 医学-医学:内科
CiteScore
2.80
自引率
0.00%
发文量
44
审稿时长
4-8 weeks
期刊介绍: The Annals of Saudi Medicine (ASM) is published bimonthly by King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. We publish scientific reports of clinical interest in English. All submissions are subject to peer review by the editorial board and by reviewers in appropriate specialties. The journal will consider for publication manuscripts from any part of the world, but particularly reports that would be of interest to readers in the Middle East or other parts of Asia and Africa. Please go to the Author Resource Center for additional information.
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