Abstract

RICCI A, Paolo; SOLA D, Vicente  and  PARDO S, Jack. ENTRADA UMBILICAL CON TROCAR MÍNIMAMENTE INVASIVO BAJO VISIÓN DIRECTA EN LAPAROSCOPIA GINECOLÓGICA. Rev. chil. obstet. ginecol. [online]. 2008, vol.73, n.2, pp. 104-109. ISSN 0717-7526.  doi: 10.4067/S0717-75262008000200006.

Objective: To analyze the initial experience of umbilical access with minimally invasive trocar Endopath Xcel, under direct visión in gynecological laparoscopy. Method: 20 patients under laparoscopy surgery for benign gynecological pathology. Media age 54 years oíd, BMI 32. Five patients had previous surgery. The trocar utilized was Xcel, with endoscopio camera. The planes of the abdominal wall during the entrance were identified. The access was stopped when identifying vessels or organs adhered to the abdominal wall with perforation possibility. An alternative entrance was used. Once finished the surgery the trocar was retired without suturing the muscular fascia, only the skin. Results: Only in one case (1 of 20, 5%) it was necessary to stop the trocar insertion, when was identified adhesión of the intestine to the abdominal wall. The left superior quadrant was used like alternative entrance. The adhesions were solved with ultrasonic scalpel. Conclusions: The method of primary access with visual umbilical Xcel trocar connected to the endoscopio camera allows reducing the possibility of complications during the entrance in gynecological laparoscopy procedures.

Keywords : Laparoscopy; trocar; endoscopio camera.