We observed 3 (1.1%) cases of minor vessel injury in open group and 4 cases in close group (p-value 0.5) and 6 (2.2%) cases of extra peritoneal insufflation occurred in closed laparoscopy and 2 cases in Open group (p-value 0.28).
In our study total complications significantly occurred in males in close group (p-value=0.0039) as well as in extra peritoneal insufflation (p-value=0.00696) and in bowel injury (p=0.038).
The standard technique of insufflation after insertion of Veress needle, open laparoscopy involving opening of the peritoneum under direct vision (Hasson's method), optical trocar insertion and direct trocar insertion (DTI) as well as variants of these techniques.
Minor complications were significantly more frequent in the veress needle method, (14) this is because of insufficient depth achieved with the veress needle, resulting preperitoneal insufflation and that will lead to difficulty in subsequent placement of trocar.
Gastric insufflations pressure, air leakage and respiratory mechanics in the use of laryngeal mask airway (LMA) in children.
Wahlen and colleagues showed that clinically undetected LMA malpositioning is a significant risk factor for gastric air insufflation in children between 3 and 11 years, undergoing positive pressure ventilation, especially at inspiratory airway pressures above 17 cmH2O.
Having observed Kelly's insufflation device in 1912, Shipway developed his own intratracheal device using an electric blower as the gas supply.
A reassessment of anaesthesia by endotracheal insufflation. Anaesthesia 1965; 20:442-460.
Direct trocar insertion without previous pneumoperitoneum was reported to be a safe alternative to VN insertion.2 The VN technique for establishing pneumoperitoneum is widely used yet associated with slow insufflation
and potentially life-threatening complications.3 The injuries most commonly occur by VN or direct trocar that punctures or lacerate aorta, common iliac artery and inferior vena cava.4 Blind insertion of the VN and direct trocar is significant cause of complications in laparoscopic surgery.
When performing CTC a large range of insufflation volumes are encountered from patient to patient due to the difference in length and width of an individual's colon, the severity of ileocaecal reflux, and losses due to mucosal resorption and sphincteric incompetence.
Colonic insufflation was achieved in two steps as per departmental protocol at the time of the study.
To overcome these hemodynamic effects of insufflation
various methods have been used like combined epidural with general anesthesia, propofol infusion, high dose of opioids, beta blockers, nicardipine, oral clonidine etc.