open access

Vol 89, No 9 (2018)
ORIGINAL PAPERS Gynecology
Published online: 2018-09-28
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A new technique in laparoscopic abdominal access (Evsen Method, Modified Veress Technique)

Mehmet Siddik Evsen, Mehmet Sait Icen, Fatih Mehmet Findik, Senem Yaman Tunc, Elif Ağaçayak, Talip Gul
DOI: 10.5603/GP.a2018.0082
·
Pubmed: 30318574
·
Ginekol Pol 2018;89(9):481-484.

open access

Vol 89, No 9 (2018)
ORIGINAL PAPERS Gynecology
Published online: 2018-09-28

Abstract

Objectives: The most important step in laparoscopic surgery is to safely establish the pneumoperitoneum, especially since approximately half of the complications occur during the initial entry into the abdomen. There is a distinct need to modify the available methods to reduce therate of adverse events in laparoscopic entry. In this study, a modified Veress technique (MVT) or Evsen method is introduced.The aim of this article was to present a modified Veress technique for establishing the pneumoperitoneum.

Material and methods: The study was conducted at the Dicle University, Faculty of Medicine, Department of Obstetrics and Gynecology, from September 2016 to May 2017. A new laparoscopic entry technique was introduced and compared with the classical Veress technique. A total of 40 cases were included in the study. MVT and the classical Veress method were applied to 26 and 14 patients, respectively.

Results: The pneumoperitoneum was established at the first attempt in 23 (88.5%) MVT patients and in 7 (50%) patients from the classical Veress method group. The number of insufflation attempts to establish a successful pneumoperitoneum was lower using MVT and the difference was statistically significant (p: 0.022). As far as time is concerned, a comparison between the groups revealed that the pneumoperitoneum was established in a statistically significantly shorter time using MVT (p < 0.00).

Conclusions: The modified Veress technique proved to be superior to the classical Veress method for establishing the pneumoperitoneum. Using the new method, the pneumoperitoneum was established after fewer attempts and in a shorter time.

Abstract

Objectives: The most important step in laparoscopic surgery is to safely establish the pneumoperitoneum, especially since approximately half of the complications occur during the initial entry into the abdomen. There is a distinct need to modify the available methods to reduce therate of adverse events in laparoscopic entry. In this study, a modified Veress technique (MVT) or Evsen method is introduced.The aim of this article was to present a modified Veress technique for establishing the pneumoperitoneum.

Material and methods: The study was conducted at the Dicle University, Faculty of Medicine, Department of Obstetrics and Gynecology, from September 2016 to May 2017. A new laparoscopic entry technique was introduced and compared with the classical Veress technique. A total of 40 cases were included in the study. MVT and the classical Veress method were applied to 26 and 14 patients, respectively.

Results: The pneumoperitoneum was established at the first attempt in 23 (88.5%) MVT patients and in 7 (50%) patients from the classical Veress method group. The number of insufflation attempts to establish a successful pneumoperitoneum was lower using MVT and the difference was statistically significant (p: 0.022). As far as time is concerned, a comparison between the groups revealed that the pneumoperitoneum was established in a statistically significantly shorter time using MVT (p < 0.00).

Conclusions: The modified Veress technique proved to be superior to the classical Veress method for establishing the pneumoperitoneum. Using the new method, the pneumoperitoneum was established after fewer attempts and in a shorter time.

Get Citation

Keywords

laparoscopic entry, laparoscopic surgical technique, pneumoperitoneum, Veress needle

About this article
Title

A new technique in laparoscopic abdominal access (Evsen Method, Modified Veress Technique)

Journal

Ginekologia Polska

Issue

Vol 89, No 9 (2018)

Pages

481-484

Published online

2018-09-28

DOI

10.5603/GP.a2018.0082

Pubmed

30318574

Bibliographic record

Ginekol Pol 2018;89(9):481-484.

Keywords

laparoscopic entry
laparoscopic surgical technique
pneumoperitoneum
Veress needle

Authors

Mehmet Siddik Evsen
Mehmet Sait Icen
Fatih Mehmet Findik
Senem Yaman Tunc
Elif Ağaçayak
Talip Gul

References (11)
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