M. Mlyncek et al., LAPAROSCOPY WITHOUT USE OF THE VERESS NEEDLE - RESULTS IN A SERIES OF1,600 PROCEDURES, Mayo Clinic proceedings, 69(12), 1994, pp. 1146-1148
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.