Description
The laparoscopic Veress needle is a specialized medical instrument used in laparoscopic surgery to create a safe entry point into the abdominal cavity.The primary use of the laparoscopic Veress needle is as follows:
Abdominal Entry: The Veress needle is used to establish pneumoperitoneum, which is the insufflation of carbon dioxide gas into the abdominal cavity to create a space for laparoscopic surgery. This gas creates a working area by lifting the abdominal wall away from the underlying organs, allowing surgeons to perform minimally invasive procedures. The steps involved in using a laparoscopic Veress needle for abdominal entry typically include:a. Preparation: The patient is positioned correctly, and the surgical team identifies the entry point, often around the navel.b. Anesthesia: Local anesthesia may be administered to numb the area where the Veress needle will be inserted.c. Needle Insertion: The Veress needle is inserted into the abdominal cavity through a small incision, typically located just below the patient’s navel. The needle is inserted at an angle perpendicular to the abdominal wall.d. Pneumoperitoneum Creation: Carbon dioxide gas is connected to the Veress needle, and the gas is gradually insufflated into the abdominal cavity. As the gas enters, it displaces the abdominal organs and creates a space.e. Confirmation of Correct Placement: Surgeons may monitor the pressure and listen for specific sounds to ensure that the needle is correctly positioned in the abdominal cavity and not in any blood vessels or other structures.f. Surgical Trocar Placement: Once pneumoperitoneum is established and confirmed to be safe, a trocar (a tube-like instrument) is often inserted through the same entry point. The Veress needle is removed, leaving the trocar in place.g. Laparoscope Insertion: A laparoscope (a long, thin, illuminated camera) is then inserted through the trocar, allowing surgeons to view the abdominal cavity and perform the laparoscopic procedure.h. Additional Trocars: Depending on the complexity of the surgery, additional trocars may be inserted through separate incisions to accommodate other surgical instruments.The laparoscopic Veress needle is a critical tool for safe and controlled entry into the abdominal cavity during laparoscopic surgery. Its use helps minimize the risk of injury to internal organs or blood vessels while providing a clear and controlled surgical field for minimally invasive procedures in various medical specialties, including general surgery, gynecology, urology, and more.
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