Comparative study between true umbilical versus supra umbilical technique as an open access for pneumoperitoneum during laparoscopic surgery

Abstract

^{Background: To start laparoscopic procedures, accessing the peritoneal cavity and establishing a carbon dioxide pneumoperitoneum are critical. The placement of the primary trocar is an important step in laparoscopic surgery. Many techniques have been reported in order to limit complications associated with the placement of the first trocar. In the study we describe a surgical method that offers quick, safe, and reliable preliminary entry into the peritoneal cavity with incredible functional and cosmetic results. Methods: A prospective randomised comparative study was conducted on 202 candidates for various laparoscopic surgery, comparing true umbilical versus supra umbilical open access for pneumoperitoneum from November 2021 to May 2022 in our surgical department. Results: There were 202 patients in the study, 109 (women) and 93 men. The port site entry per seconds was 41.3± 1.2 in true umbilical technique (group A) and 132.9± 5.5 in supra umbilical open technique (group B), and that was a statistically significant difference (p < 0.0001). There was a statistically significant difference in the mean time of port site wound closure (<0.0001) and port site gas leaking in the true umbilical access group compared to the supra umbilical access group (0.000161).}