Abstract
Background: Access to the peritoneal cavity in laparoscopic procedures is generally achieved by means of a pneumoperitoneum, following introduction of a Veress needle. Because this procedure must be done blindly, it is not without visceral or vascular hazards. Therefore, we sought an alternative technique that might obviate these complications.
Methods: In a series of 803 patients, a modified Hasson technique was used to obtain a pneumoperitoneum without risking the complications associated with the introduction of a Veress needle.
Results: The modified Hasson technique proved to be feasible in all cases. No visceral or vascular complications resulted, but 10 patients had a transient serous discharge. Follow-up ranged between 5 and 52 months.
Conclusion: The modified Hasson technique should always be used in laparoscopic procedures.
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Received: 17 December 1997/Accepted: 7 May 1998
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Lafullarde, T., Van Hee, R. & Gys, T. A safe and simple method for routine open access in laparoscopic procedures. Surg Endosc 13, 769–772 (1999). https://doi.org/10.1007/s004649901095
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DOI: https://doi.org/10.1007/s004649901095