Direct Trocar Insertion with Elevation of the Rectus Sheath in Bariatric Surgery: A Novel Technique

• Authors: Mani Habibi , Hakan Seyit , Osman Kones , Bahadir Kartal , Halil Alis

Abstracts

EN

Introduction. Initial trocar entry, the first step in laparoscopic surgery, is associated with several complications. In morbidly obese patients, initial trocar placement is associated with a greater number of complications compared to non-obese patients.
Materials and Surgical Technique. In this study, we describe our use of an initial trocar entry technique which is direct trocar insertion with elevation of the rectus sheath by a single Backhaus towel clamp and we would like to evaluate the sa fety and efficacy of its administration in bariatric surgery.
Discussion. Our results indicate that gaining initial trocar entry using our technique leads to successful laparoscopic bariatric surgery. Our technique is a safe, effective, and reliable first step in successful laparoscopic surgery for almost all patients, and is only contraindicated in patients with severe hepatomegaly.

Keywords

EN

bariatric surgery; direct trocar insertion; rectus sheath elevation

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2017
• Volume: 89(6)
• Pages: 23-25

Dates

published

2017-12-08

Contributors

author

Mani Habibi

author

Hakan Seyit

author

Osman Kones

author

Bahadir Kartal

author

Halil Alis

Identifiers

DOI

10.5604/01.3001.0010.6740