Omer Fateh, Muhammad Samir Irfan Wasi.
Complications of Veress Needle Insertion for Creation of Pneumoperitoneum.
Ann Abbasi Shaheed Hosp Karachi Med Dent Coll Jan ;22(2):97-104.

Abstract Objective: To determine the frequency of major and minor complications associated with Veress needle insertion method for creation of pneumoperitoneum for laparoscopic cholecystectomy procedure. Methods: This is a descriptive study aimed to assess the complications caused by Veress needle insertion and to determine the safety profile of this procedure. In this study patients undergoing laparoscopic cholecystectomy in Sindh Government Qatar Hospital were selected from January 2014 to December 2015. Exclusion criteria were established and those patients having age more than 80 years, procedure converted to open surgery or having previous history of upper abdominal surgeries were excluded. Complications occurring during creation of pneumoperitoneum by Veress needle were assessed. Complications were grouped as major and minor complications. Major complications included injury to abdominal viscera and vascular injuries, including injury to aorta, inferior vena cava, iliac and mesenteric arteries. Minor injuries included injury to omentum and mesentery. Results: Total of 377 cases of laparoscopic surgeries were included in the study. In these laparoscopic surgeries 3 (0.79%) injuries were recorded. All injuries recorded were categorised as minor complications and included two omental injuries and one mesenteric injury. No major complications were recorded including visceral or vascular injuries. Conclusion: It was concluded in this study that Veress needle method for creation of pneumoperitoneum has good safety profile, being less prone to major and minor complications, along with being a time-saving procedure. Keywords: Laparoscopic cholecystectomy, needle, safety, complications, pneumoperitoneum.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com