Safety of Veress Needle Insertion in Laparoscopic Bariatric Surgery

• DOI: 10.1097/sle.0b013e31828f6cfd
• Publication Date: 2014-01-31T11:46:24Z
• Authors: Marco Kosuta; Silvia Palmisano; Giuseppe Piccinni; Jacopo Guerrini; Michela Giuricin; Carlo Nagliati; Biagio Casagranda; Nicolò de Manzini
• Keywords: Veress needle

Creating the pneumoperitoneum is first surgical procedure in laparoscopic abdominal surgery. Morbid obesity a risk factor for iatrogenic injuries because of considerable thickness wall. The aim this study was to assess feasibility and incidence complications when using Veress needles (VN) obese patients undergoing bariatric surgery.Between March 2004 December 2010, retrospective analysis performed on 139 (mean body mass index=45.94 kg/m). Blind VN insertion followed by optical trocar most widely used technique.Of patients, successfully 138 cases (99.28%), 1 patient failed an open laparoscopy (0.72%). During period, there were 63 gastric bypasses, 18 sleeve gastrectomies, 50 bandings, 8 reoperations. inserted left upper quadrant 46 midline above umbilicus 93 cases. A colonic perforation after at occurred. overall rate 0.72%. There no access-related umbilicus; complication 2.17% placement. No subcutaneous emphysema or extraperitoneal insufflation observed.In our experience, success 98.28% technique can be considered feasible safe even population.