Introduction: Laparoscopy has revolutionised Surgery with its widespread acceptance as predominantly minimally invasive to intraabdominal surgical procedures. Laparoscopy is the art of examining the abdominal cavity and its contents. It requires insertion of a cannula through the abdominal wall, distention of the abdominal cavity with gas or air (pneumoperitoneum), and visualization and examination of the abdomen’s contents with an illuminated telescope.
Material and Methods: This is a prospective and observational study conducted in the Department of General Surgery at Prathima Institute of Medical Sciences over a period of 1 year. All the cases who underwent laparoscopic tubal ligation procedure during this time were taken into account. The traditional technique of Veress Needle entry (Group A) and Direct trocar entry (Group B). Inclusion Criteria: Patients which are posted for planned laproscopic surgeries irrespective of age and sex. Exclusion Criteria: Emergency surgeries. ▪ Patients having abdominal scars crossing umbilicus. ▪ Immunocompromised patients ▪ Seropositive patients.
Result: In our present study, a total of 90 patients were included in both the groups out of which 21 (23.4%) were males and 69 (76.6%) were females in Group A and in Group B: 19 (21.1%) were males and 71 (78.9%) were females. The mean time taken to create Pneumoperitoneum in case of Veress Needle entry was 4 min 01 sec, of which maximum was 7 min 10 sec and minimum was only 3 min 05 sec. The mean time taken to create Pneumoperitoneum in case of Direct trocar entry was 1 min 43 sec, of which maximum was 3 min 20 sec and minimum was 1 min 15 sec. Complications arising during procedures were identified and recorded. Group A patients 6 patients witnessed omental emphysema was commonest complication followed by 5 patients preperitoneal insufflation while as the most common complication in group B was omental emphysema in 2 patients.
Conclusion: Direct Trocar entry is a safe alternative to the Veress needle entry technique for the creation of pneumoperitoneum. One of the main advantages of this technique is the reduced number of the blind insertions required to gain abdominal access. Other benefits are rapid creation of pneumoperitoneum, less gas use and decreased operating time. In laparoscopic surgeries, it is a more reliable and less time-consuming method.