Veress Needle Related Complications in Laparoscopic Surgery: Our Experience

Muhammad  Sajid; Ata Ul Lateef; Junaid  Misbah; Sajid  Rehman

doi:10.29054/apmc/2010.674

Muhammad Sajid MBBS, FCPS (SURGERY) Associate Professor of Surgery Punjab Medical College, Faisalabad
Ata Ul Lateef MBBS, FCPS (SURGERY) Assistant professor of Surgery Punjab Medical College, Faisalabad
Junaid Misbah Registrar Surgery DHQ Hospital, Faisalabad
Sajid Rehman Senior Registrar surgery DHQ Hospital, Faisalabad

DOI: https://doi.org/10.29054/apmc/2010.674

Abstract

Background: A retrospective analytical, multicenteric study conducted to evaluate closed technique for creating pneumoperitoneum in terms of procedural safety. Methods: 5244 patients undergoing laparoscopic surgery from January 2001 to December 2009 for different indications in which pneumoperitoneum was created using closed technique by veress needle. Evaluation of results was done by analyzining the data in SPSS V-17. Results: Only 31 (0.6% ) patients developed complications like small bowel injury(0.04%),liver injury(0.02%),omental vascular injury(0.13%), omental emphysema(0.19%) and extra peritoneal emphysema(0.2%) while using the closed method for primary access. Only one patient required major intervention while all the rest were managed by simple measure laparoscopically. Conclusion: closed technique using veress needle for creating pneumoperitoneum is as safe as Hasson’s technique and no method has advantage over the other.