Comparative study of the open versus closed method of penumoperitoneum creation in laproscopic surgery

Tejas Patel; Hitesh Tadvi; Chirag Parikh; Himmatlal Nisarata

doi:10.53730/ijhs.v6nS2.8341

Authors

Tejas Patel Assistant Professor, Department of General Surgery, Parul Institute of Medical Sciences and Research, Waghodia, Vadodara, Gujarat, India
Hitesh Tadvi Assistant Professor, Department of General Surgery, GMERS Medical College, Gotri, Vadodara, India
Chirag Parikh Associate Professor, Department of General Surgery, Parul Institute of Medical Sciences and Research, Waghodia, Vadodara, Gujarat, India
Himmatlal Nisarata Assistant Professor, Department of General Surgery, Baroda Medical College, Vadodara, Gujarat, India

Keywords:

laproscopy, veress needle, hasson cannula, peritoneum

Abstract

Background and Aim: In last few decades laparoscopy has gained more importance than conventional laparotomy procedure in day to day surgical practices. The different types of trocars, different sites and different positions adopted for safe entry means that the controversy is yet to be resolved. This study was conducted to compare peritoneal access with open vs closed technique in laparoscopic surgeries in terms of outcomes and complications. Materials and Methods: The total cases were divided in two groups with 50 cases were treated with open laparoscopy and 50 cases were treated with closed laparoscopy. The present prospective study involved the patients that presented with acute or chronic abdominal conditions like calculus cholecystitis, cholelithiasis, acute or subacute or chronic appendicitis, carcinoma rectum etc at medical college & hospital. Results: In the open group, gas leak occurred in 8 cases, port-site bleeding in 7 cases, port-site hematoma occurred in 3 case while port site wound infection occurred in 3 cases. In the closed group, gas leak occurred in 5 cases, port-site bleeding in 2 cases, port-site hematoma occurred in 1 case while port site wound infection occurred in 4 cases. There was one complication of extra peritoneal insufflations in closed method group.

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