{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:05:12Z","timestamp":1777943112788,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2011,1,18]],"date-time":"2011-01-18T00:00:00Z","timestamp":1295308800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:p>Background: The background of this investigation is based on a common surgical problem: The access in laparoscopic surgery is more difficult in women with previous abdominopelvic surgery, since adhesions and viscera could be close to the point of trocar insertion. Purpose: The authors analyzed the safety and the efficacy of a modified direct optical entry (DOE) method versus the Hasson\u2019s method by open laparoscopy (OL) in women with previous abdominopelvic surgery in a preliminary prospective case\u2013control study. Materials and methods: A total of 168 women underwent laparoscopic surgery in university-affiliated hospitals: 86 were assigned to abdominal DOE (group A) and 82 to OL (group B). The main outcome measures were statistically compared: time required for entry into abdomen, blood loss, and occurrence of vascular and\/or bowel injury. All patients had an intraperitoneal view of the primary port site during surgical procedure. Results: Statistical differences, in favor of the DOE group ( P &lt; .01), were found in duration of entry and blood loss. The vascular and bowel injuries in OL versus DOE were not statistically different. Conclusions: Obtaining access to the peritoneal cavity in laparoscopic surgery is more difficult in patients with previous abdominopelvic surgery, since it can become a difficult, time-consuming, and occasionally hazardous procedure. The study results suggest that DOE is advantageous when compared with OL in terms of saving time enabling a safe and expeditious visually guided entry for laparoscopy.<\/jats:p>","DOI":"10.1177\/1553350610393989","type":"journal-article","created":{"date-parts":[[2011,1,18]],"date-time":"2011-01-18T21:23:21Z","timestamp":1295385801000},"page":"201-205","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":29,"title":["Laparoscopy Entry in Patients With Previous Abdominal and Pelvic Surgery"],"prefix":"10.1177","volume":"18","author":[{"given":"Andrea","family":"Tinelli","sequence":"first","affiliation":[{"name":"Vito Fazzi Hospital, Lecce, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Malvasi","sequence":"additional","affiliation":[{"name":"Santa Maria Hospital, Bari, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcello","family":"Guido","sequence":"additional","affiliation":[{"name":"University of Salento, Lecce, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel Alberto","family":"Tsin","sequence":"additional","affiliation":[{"name":"The Mount Sinai Hospital of Queens, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gernot","family":"Hudelist","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Wilhelminenspital der Stadt, Wien, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Stark","sequence":"additional","affiliation":[{"name":"The New European Surgical Academy (NESA), Berlin, Germany"},{"name":"The USP hospital, Mallorca, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liselotte","family":"Mettler","sequence":"additional","affiliation":[{"name":"University 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