The Veress needle is the laparoscopic entry technique most commonly used among gynecologists. Direct trocar entry is another method to gain entry to the abdomen that is uncommon to gynecologists. This prospective and randomized study will compare the two entry techniques with regard to: * Complications related to the entry technique and previous surgeries * Time taken to enter the abdomen * The number of attempts taken to enter the abdomen
Patients of Dexeus Universitary Institute that are having a laparoscopic surgery for gynecological purposes will participate in the study. Patients with previous middle laparotomies or 3 or more abdominal suregeries will be excluded from the study. A patient information sheet will be provided and written consent will be obtained. Patients who give written consent will be randomized into the two arms of the trial. All patient information will be confidential and only be available to researches involved in the study. Only three expert surgeons of the Gynecological Department of Dexeus Universitary Institute will participate in the study. 300 women will be recruited over a two year period and the data will be analysed by a statistician.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Laparoscopic direct entry with trocar
Laparoscopic entry with Veress needle
Hospital Quiron Dexeus
Barcelona, Spain
Complications during entry in laparoscopy
Complications during entry in laparoscopy like vascular injury, bowel injury,conversion to laparotomy, omental injury, etc
Time frame: During surgery
Time to enter in the abdominal cavity
Time in seconds from the impact of the trocar or the veress needle to enter in the abdominal cavity
Time frame: During surgery
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