Direct Primary Trocar Entry for Laparoscopic Procedures: our Experience
Dr.A.S.Mudholkar, Dr.A.S.Kakade, Dr.G.N.Wagh
In laparoscopic surgery the most important step is placement of primary port. Many complications like
vessel injury, subfascial gas insufflations are known to occur at this step. Two techniques commonly used
for port entry, are closed technique and open (Hasson’s) technique for access to the abdominal cavity. We have analyzed laparoscopic operative cases done by direct trocar entry in our hospital in last seven years. Our results showed
no morbidity or mortality in the study. Only 40 (4.27%) cases required more than two attempts for the trocar entry.
There were only two cases of omental injury. No vascular injury or subcutaneous gas insufflations noted. .These results
were similar to other authors. From this study we conclude that direct trocar entry is a safe & easy technique for first
port placement in laparoscopic surgeries.