{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,6,24]],"date-time":"2023-06-24T23:28:52Z","timestamp":1687649332605},"reference-count":5,"publisher":"Index Copernicus","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2017,12,30]]},"abstract":"<b>Introduction.<\/b> Initial trocar entry, the first step in laparoscopic surgery, is associated with several complications. In morbidly\nobese patients, initial trocar placement is associated with a greater number of complications compared to non-obese patients.\n<br\/><b>Materials and Surgical Technique<\/b>. In this study, we describe our use of an initial trocar entry technique which is direct trocar\ninsertion with elevation of the rectus sheath by a single Backhaus towel clamp and we would like to evaluate the sa fety and efficacy\nof its administration in bariatric surgery.\n<br\/><b>Discussion<\/b>. Our results indicate that gaining initial trocar entry using our technique leads to successful laparoscopic bariatric\nsurgery. Our technique is a safe, effective, and reliable first step in successful laparoscopic surgery for almost all patients, and is\nonly contraindicated in patients with severe hepatomegaly.\n\n<\/jats:p>","DOI":"10.5604\/01.3001.0010.6740","type":"journal-article","created":{"date-parts":[[2018,5,22]],"date-time":"2018-05-22T13:53:04Z","timestamp":1526997184000},"page":"23-25","source":"Crossref","is-referenced-by-count":2,"title":["Direct Trocar Insertion with Elevation of the Rectus Sheath in Bariatric Surgery: A Novel Technique"],"prefix":"10.5604","volume":"89","author":[{"given":"Mani","family":"Habibi","sequence":"first","affiliation":[{"name":"Alaaddin Keykubat University, Alanya Training and Research Hsopital, Antalya, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hakan","family":"Seyit","sequence":"additional","affiliation":[{"name":"Bakirkoy Dr. Sadi Konuk Training and Research Hospital, General Surgery Department, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osman","family":"Kones","sequence":"additional","affiliation":[{"name":"Bakirkoy Dr. Sadi Konuk Training and Research Hospital, General Surgery Department, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bahadir","family":"Kartal","sequence":"additional","affiliation":[{"name":"Bakirkoy Dr. Sadi Konuk Training and Research Hospital, General Surgery Department, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Halil","family":"Alis","sequence":"additional","affiliation":[{"name":"Istanbul Ayd\u0131n University, Florda VM Medikal Park Hospital, General Surgery Department, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","reference":[{"key":"156787r1","doi-asserted-by":"crossref","unstructured":"Kassir R, Blanc P, Lointier P, Tiffet O, Berger J, Amor IB, et al. Laparoscopic entry techniques in obese patient: Veress needle, direct trocar insertion or open entry technique?\u00a0Obes Surg\u00a02014;24(12):2193-4.","DOI":"10.1007\/s11695-014-1452-2"},{"key":"156787r2","doi-asserted-by":"crossref","unstructured":"Gunenc MZ, Yesildaglar N, Bingol B,Onalan G, Tabak S, G\u00f6kmen B.The safety and efficacy of direct trocar insertion with elevation of the rectus sheath instead of the skin for pneumoperitoneum.\u00a0Surg Laparosc Endosc Percutan Tech 2005;15(2):80-1.","DOI":"10.1097\/01.sle.0000162106.95875.b9"},{"key":"156787r3","doi-asserted-by":"crossref","unstructured":"Altun H, Banli O, Karakoyun R,Boyuk A, Okuducu M, Onur E, et al. Direct trocar insertion technique for initial access in morbid obesity surgery: technique and results. Surg Laparosc Endosc Percutan Tech 2010;20(4):228-30.","DOI":"10.1097\/SLE.0b013e3181ec6667"},{"key":"156787r4","doi-asserted-by":"crossref","unstructured":"Ertugrul I, Kayaalp C, Yagci MA,\u00a0Sumer F,\u00a0Karagul S,\u00a0Tolan K. Comparison of direct trocar entry and Veress needle entry in laparoscopic bariatric surgery: randomized controlled trial. J Laparoendosc Adv Surg Tech2015;25(11):875-9.","DOI":"10.1089\/lap.2015.0317"},{"key":"156787r5","doi-asserted-by":"crossref","unstructured":"Jiang X, Anderson C, Schnatz PF. The safety of direct trocar versus Veress needle for laparoscopic entry: A meta-analysis of randomized clinical trials. J Laparoendosc Adv Surg Tech 2012;22(4):362-70.","DOI":"10.1089\/lap.2011.0432"}],"container-title":["Polish Journal of Surgery"],"original-title":[],"link":[{"URL":"https:\/\/ppch.pl\/gicid\/pdf\/01.3001.0010.6740","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ppch.pl\/gicid\/pdf\/01.3001.0010.6740","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,5,22]],"date-time":"2018-05-22T13:55:36Z","timestamp":1526997336000},"score":1,"resource":{"primary":{"URL":"https:\/\/ppch.pl\/gicid\/01.3001.0010.6740"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,30]]},"references-count":5,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,12,30]]}},"URL":"https:\/\/doi.org\/10.5604\/01.3001.0010.6740","relation":{},"ISSN":["0032-373X","2299-2847"],"issn-type":[{"value":"0032-373X","type":"print"},{"value":"2299-2847","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,30]]}}}