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. 2018 Feb;100(2):158-159.
doi: 10.1308/rcsann.2017.0135. Epub 2017 Sep 13.

Real time ultrasound guided insertion of Veress needle in obese patients

A Pratap  1 , D Oleynikov  1 , V Kothari  1
Affiliations

Real time ultrasound guided insertion of Veress needle in obese patients

A Pratap et al. Ann R Coll Surg Engl. 2018 Feb.
No abstract available

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Figures

Figure 1
Figure 1
The layers of the abdominal wall are well visualised even in morbid obese patients using real time ultrasonography
Figure 2
Figure 2
Palmer’s point is our preferred site for Veress needle insertion, lying two fingerbreadths below the left subcostal margin in the midclavicular line
Figure 3
Figure 3
The path of the Veress needle (arrow) is visualised using real time ultrasonography
See this image and copyright information in PMC

References

    1. Azevedo JL, Azevedo OC, Miyahira SA et al. . Injuries caused by Veress needle insertion for creation of pneumoperitoneum: a systematic literature review. Surg Endosc 2009; : 1,428–1,432. - PubMed
    1. Abbassi-Ghadi N, Skull A. Trocar injury of abdominal wall vessels: a simple method to stop the haemorrhage. Ann R Coll Surg Engl 2011; : 552. - PMC - PubMed
    1. Schäfer M, Lauper M, Krähenbühl L. Trocar and Veress needle injuries during laparoscopy. Surg Endosc 2001; : 275–280. - PubMed
    1. 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 A 2012; : 362–370. - PubMed

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