LAPAROSCOPY WITHOUT USE OF THE VERESS NEEDLE - RESULTS IN A SERIES OF1,600 PROCEDURES

Objective:: To describe a method of laparoscopy without use of the Ver ess needle and to analyze the associated complications. Design: We ret rospectively reviewed all 1,600 laparoscopic procedures performed in t he Department of Obstetrics and Gynecology at Nitra Hospital from Aug. 23, 1989, to Jan. 31, 1994. Material and Methods: Our laparoscopic te chniques were outlined, and our complication rate was assessed and com pared with that from the literature. Results: In the 1,600 procedures, 6 complications occurred (0.375%)-4 technical failures in extremely o bese patients, 1 case of umbilical granuloma 2 months after the proced ure, and 1 case of omental prolapse on the sixth postlaparoscopic day. Conclusion: Results from this series of procedures suggest that lapar oscopy without use of the Veress needle is simple, safe, efficient, an d easy to learn.