ArticleJournal of minimal access surgery2012
Veress needle insertion through left lower intercostal space for creating pneumoperitoneum: Experience with 75 cases.
Article in Journal of minimal access surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed, 12 citations in OpenAlex.
- Influence of 2 Veress needles and 4 insertion sites on Veress needle penetration depth: A comparative study in cadaveric dogs.Veterinary surgery : VS · 2018Article
- Jain point: A new safe portal for laparoscopic entry in previous surgery cases.Journal of human reproductive sciencesArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextVeress needle insertion (VNI) at sub-umbilical fold (SUF) midline is associated with serious intra-abdominal injuries.
aimThe aim of this study has been to evaluate the safety and efficacy of lower left intercostal space (LICS) for VNI. SETTINGS AND
designThis prospective observational study was conducted in three parts in Surgery-II, Department of Surgery, GTBH-UCMS, Delhi. MATERIALS AND
methodsIn part one, skin fold thickness (SFT) was measured in 32 patients at SUF, LICS, right iliac fossa (RIF) and Palmer's point. As part two, in these patients, VNI was carried out from LICS under laparoscopic guidance. As part three, same technique of VNI was employed in 43 patients with suspected intra-abdominal adhesions undergoing laparoscopy for various reasons. Observations were made regarding ease of insertion, attempts needed for successful entry, loudness or clarity of give-way feeling of Veress needle, intra-abdominal bleeding at point of emergence of Veress needle, hemopneumothorax, bowel or vascular injury. STATISTICAL ANALYSIS USED: SFT was expressed as mean (SD), and one-way ANOVA followed by Tukey's test were employed to find the statistical significance.
resultsSFT at LICS was significantly less as compared to SUF and Palmer's point. VNI at LICS was easy to carry out; it could be successfully done in first attempt in all patients, and was associated with very clear and loud give-way feeling. There were no instances of intra-abdominal bleeding at point of emergence of Veress needle, hemopneumothorax, bowel or vascular injury.
conclusionsVNI at LICS as described here is safe and effective.
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Registered trials
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