Entry complications of laparoscopic surgery: A study in marks medical college & hospital, Dhaka, Bangladesh
Iqbal Masud Khan, Md Zakir Hossain, Nishat Farhana Khan, Nabaneeta Sarker, Nayeem
Background: Access into the abdomen is the one challenge of laparoscopy (Gr: Laparo-abdomen, scopein-to examine) that is particular to the insertion of surgical instruments through small incisions. Abdominal access and the creation of a pneumoperitoneum in the initial stage of any laparoscopic surgery carry a significant risk of bowel and vascular injuries. Objective: To find out the Entry Complications of Laparoscopic Surgery patients. Methods: This study included 85 patients who underwent laparoscopic procedure in our Dept. Of Gastro Intestinal Laparoscopic Onco-Surgery, Marks Medical College & Hospital, Dhaka, Bangladesh hospital over a period of two years (2016-2018). Intraperitoneal access was through three different methods-closed method (veress needle), open (Hasson’s) method and direct trocar entry method. Results: Minor complications occurred in all three methods but no major complication was reported. Conclusion: All the three methods are safe for intraperitoneal access. Direct trocar entry is faster than other methods. Hasson’s technique maybe preferred over other two methods in patients with previous abdominal surgeries. There remains no clear consensus as an optimal method of entry into the peritoneal cavity. It mainly depends on surgeon’s preference and expertise.