Year: 2024
Type: article
Abstract: Introduction: Direct trocar insertion is a minimally invasive surgical technique used to insert instruments into the body through small incisions, to reducing recovery time and minimizing tissue damage. Aims and Objective: To develop and refine techniques for direct trocar insertion, enhancing precision and safety, to minimizing complications, and improving patient outcomes through innovative research and its clinical application. Method: A study was conducted with 45 patients undergoing laparoscopic surgery. A 10-mm trocar was directly inserted into the peritoneal cavity without prior pneumoperitoneum. Patients were positioned supine, and a small infraumbilical incision was made. The trocar was inserted at a 90-degree angle using controlled force. Entry was confirmed by visualizing the peritoneal cavity with a laparoscope. Patient outcomes, insertion time, and complications were recorded. No major complications occurred, and average insertion time was 30 seconds. Results: The study investigates the efficacy of direct trocar insertion (DTI) in laparoscopic surgeries. Results show that DTI reduces the risk of visceral and vascular injuries compared to the Veress needle technique. Patients undergoing DTI experienced shorter setup times and fewer postoperative complications. The findings suggest that DTI is a safer and more efficient method for establishing pneumoperitoneum, enhancing overall surgical outcomes. Conclusion: The study investigates the efficacy of direct trocar insertion (DTI) in laparoscopic surgeries. Results show that DTI reduces the risk of visceral and vascular injuries compared to the Veress needle technique. Patients undergoing DTI experienced shorter setup times and fewer postoperative complications. The findings suggest that DTI is a safer and more efficient method for establishing pneumoperitoneum, enhancing overall surgical outcomes.
Authors: Sonam Sharma, Ramesh Sonowal, Dhurjyoti Nandan Das
Institution: Assam Medical College
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W6949193950
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