Re: Verres vs trocar

From: ATFSOCCER@aol.com
Sun Aug 24 22:35:55 1997


In a message dated 97-08-22 03:40:35 EDT, you write:

<< Have you ever perforated the bowel with a Verres needle? Noticed or >unnoticed requiring a take-back operation?

A Veress needle puncture of healthy bowel is (IMHO) of no consequence at all. Patient just passes wind on assistant if you put in enough gas ! >>

12 years ago I had a single veress needle puncture of the transverse colon. Recognized immediately and patient admitted to the hospital for observation and antibiotic therapy. Developed severe abdominal pain and peritoneal signs over the next 8 hrs. requiring laparotomy and single stitch closure of the bowel. Over the past 3 years I have been doing using the trocar only with "closed" technique.





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