SAFETY OF DIRECT TROCAR INSERTION THROUGH UMBILICAL PORT IN LAPAROSCOPIC SURGERY AT KHYBER TEACHING HOSPITAL, PESHAWAR

Abstract

Objectives: To determine the safety of direct trocar insertion through an umbilical port in laparoscopic
surgery with regards to potential complications.
Methods: This descriptive cross-sectional study was carried out at the surgical department of Khyber
Teaching Hospital, Peshawar, from 1st July 2019 to 30th June 2020. The study included 213 patients
of both genders fulfilling the inclusion and exclusion criteria. They were enrolled and booked for
laparoscopic surgery. Under general anesthesia, a 10mm trocar was inserted through the umbilicus
after an incision through the skin. Intra-operative and post-operative complications were noted and
data was collected in pre-printed proforma documents. The final data was analyzed through SPSS 22.
Results: Out of the 213 patients, 77(36%) were male and 136(63%) were female. The mean age was
37.97 ±5.30 years while BMI was 25.37±4.18 kg/m2. Pneumoperitoneum was safely and successfully
created via direct trocar insertion in 182 patients (85.4%). There was no statistically significant effect
of age, gender, BMI, and type of surgery on the safety of direct trocar insertion in the creation of
pneumoperitoneum for laparoscopic surgeries as the P- value was more than 0.05.
Conclusion: Based on our study, it is concluded that the technique of direct trocar insertion is safe for
the creation of pneumoperitoneum in laparoscopic surgeries.
Keywords: Laparoscopic Surgeries, Direct Trocar Insertion, Pneumoperitoneum, Safety,
Complications.