Study of correlation between veress needle and open technique in laparoscopic surgeries- a surgeons preference

In a prospective randomized study on 75patients undergoing laparoscopic surgery, the safety and feasibility of open access laparoscopy was analyzed and compared to the closed Veress needle technique. Open access laparoscopic surgery was performed in half the time needed for the Veress needle technique with equal safety and without complications or technical disadvantages. Furthermore, open access offers economical advantages, as disposable trocars are no longer needed. Therefore the open access technique is recommended as the standard for laparoscopic operations.

The patient must be offered Clear explanationsand information given regarding the associated risks and potential complications associated with laparoscopic surgery and the possibility of conversion to laparotomy if the clinical circumstances so dictate.There is no single safe technique that reduces laparoscopic surgery entry complications in low risk patients. The surgeon should select the technique which he feels most comfortable with.