Optical Trocar to Facilitate the Pneumoperitoneum Creation in Bariatric Patients: Our Experience and Systematic Review
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 403
- Locations
- 1
- Primary Endpoint
- complication rate using optical trocar to create the pneumopritoneum in laparoscopic surgery
Study Overview
Brief Summary
Laparoscopic bariatric surgery are becoming the most used procedure to treat the obesity. To facilitate safe initial access to the abdominal cavity, we insert an optical viewing trocar at the left hypocondrium. The aim of this study is to systematically evaluate all published data existing in the literature to analyze the safety of optical trocars in patients undergoing bariatric surgery and to compare these data with our experiences.
Detailed Description
In this study we analyze data existing in the literature about the use of the optical trocars in patients undergoing bariatric surgery and we compare these data with our experiences.
Establishing pneumoperitoneum is classically performed using a Veress needle or the open Hasson technique, but obesity presents its own challenges when using these techniques, including thickened abdominal wall, variable anatomical landmarks, difficult and time-consuming dissection, air leak, inadequate pneumoperitoneum, subcutaneous emphysema, and difficulty with fascial closure
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Retrospective
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •BMI>40 kg/m2 BMI>35 kg/m2with at least one associated major comorbidity
Exclusion Criteria
- •secondary obesity due to endocrine and psychological disorders
Outcomes
Primary Outcomes
complication rate using optical trocar to create the pneumopritoneum in laparoscopic surgery
Time Frame: 5 years
in literature we observe a low complication rate which include bowel and vessel injuries
optical trocar to induce the pneumoperitoneum
Time Frame: 5 years
the use of optical trocar to facilitate the creation of the pneumoperitoneum in obese patients underwent bariatric surgery
Secondary Outcomes
No secondary outcomes reported
Investigators
Giovanna Pavone
Medical doctor
University of Foggia