Shahazad Bashir, Wasim Hayat Khan, Ahsan Khan, Zafar Ali Chowdry, Awais Amjad Malik.
Pneumoperitoneum with Open Technique: Our Experience at a Tertiary Center Hospital - an Evidence Based Report.
Pak J Med Health Sci Jan ;8(1):66-7.

Aim: To study the outcome of open technique for access in laparoscopic surgery. Methods: In a period of 2 years from Jan 2012 to Dec 2013 a total of 50 procedures; all laparoscopic cholecystectomies were included in the study. All procedures were monitored for the technique used to gain access to the peritoneal cavity, time taken to attain complete pneumoperitoneum (Pressure= 15mmHg) and development of any complications. Results: A successful pneumoperitoneum was achieved in all patients. The mean time taken to achieve full pneumoperitoneum was on average 4.5min. No visceral or vascular injury occurred. Only 8 minor complications were noted. Conclusion It can be concluded that laparoscopic access using open technique is safe and feasible in our setup.

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