BACKGROUND

There are several different approaches to laparoscopic surgery nowadays. The two most popular laparoscopic access techniques are open (Hasson) and closed (veress needle) technique. There is no indication that using an open or closed laparoscopic entrance is more secure or quicker at first. Consequently, the purpose of the current study is to compare two techniques for inserting laparoscopic trocars (the Hasson and Veress Needle) during urologic operations.

OBJECTIVE: To determine the efficacy of successful techniques of pneumoperitoneum creation between open (Hasson) versus closed (veress needle) methods among patients undergoing laparoscopic urological surgeries at JPMC Karachi.

METHODS: A prospective comparative study was conducted at the department of urology. A total of 37 patients who fulfilled the inclusion criteria were included in the study. Informed consent was taken after explaining the procedure, risks and benefits of the study. The patients were randomly divided into two groups. Patient’s in group A were managed by open (Hasson) method, while in group B by closed(Veress needle). All the collected data were entered into the proforma attached at the end and used for research purpose.

RESULTS:  A total of 37 patients, 25 in open (Hasson) group versus 12 in closed (Veress needle) group were included to compare the successful pneumoperitoneum creation in patients undergoing urologic laparoscopic surgeries. Mean ± SD of age in open group was 47.2± 10.3 while in close group was 45.3± 9.4, 17 (68%) males and 8 (32%) females were enrolled in open group, while 9 (75%) males and 3 (25%) females were included in closed group. Successful creation of pneumoperitoneum was noted in 25 (100%) in open group while 11(91.6%) in closed group.

CONCLUSION: Many techniques have been developed for laparoscopic access to the abdominal cavity, among which Hasson and veress needle are most commonly employed. Several researches have compared their effectiveness and results, showing similar outcomes. Our study has shown that both of them are safe and effective in the formation of pneumoperitoneum, therefore either one may be used in laparoscopic urological procedures.

KEYWORDS: Pneumoperitoneum Creation, Open (Hasson) Method, Closed (Veress Needle) Method, Laparoscopic Surgeries

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