caa a22 4500 475779118 CHVBK 20180406123639.0 cr unu---uuuuu 170329e20000901xx s 000 0 eng 10.1007/s004640000105 doi (NATIONALLICENCE)springer-10.1007/s004640000105 Is it necessary to lift the abdominal wall when preparing a pneumoperitoneum? [Elektronische Daten] A randomized study [J. W. Briel, P. W. Plaisier, W. S. Meijer, J. F. Lange] Background: In order to create a pneumoperitoneum with the Veress needle, it is generally advocated that the abdominal wall should be lifted. Lifting is aimed at increasing the distance between the abdominal wall and the intraabdominal structures. This study was conducted to compare lifting (L) and nonlifting (NL) of the abdominal wall. Methods: All patients scheduled for laparoscopic surgery without previous abdominal surgery or morbid obesity were included in the study group. The number of attempts needed for proper positioning of the needle was assessed. Results: A total of 150 patients were randomized. There were no complications. The number of attempts needed for correct positioning of the Veress needle was significantly higher in the L group than in the NL group (31 of 75 vs nine of 75, p < 0.001). The body mass index (BMI) of patients in whom peritoneal entry needed more than one puncture was significantly higher than the BMI of patients with immediate proper placement (28.3 vs 24.7 kg/m2, p < 0.05). Conclusion: Abdominal wall lifting is not necessary. Springer-Verlag New York Inc., 2000 Key words: Abdominal wall lifting — Laparoscopy — Pneumoperitoneum — Veress needle nationallicence Briel J. W. Department of General Surgery , St. Clara Hospital, Olympiaweg 350, 3078 HT Rotterdam, The Netherlands, The Netherlands aut Plaisier P. W. Department of General Surgery , St. Clara Hospital, Olympiaweg 350, 3078 HT Rotterdam, The Netherlands, The Netherlands aut Meijer W. S. Department of General Surgery , St. Clara Hospital, Olympiaweg 350, 3078 HT Rotterdam, The Netherlands, The Netherlands aut Lange J. F. Department of General Surgery , St. Clara Hospital, Olympiaweg 350, 3078 HT Rotterdam, The Netherlands, The Netherlands aut Surgical Endoscopy Springer-Verlag 14/9(2000-09-01), 862-864 0930-2794 14:9<862 2000 14 464 https://doi.org/10.1007/s004640000105 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000105 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Briel J. W. Department of General Surgery , St. Clara Hospital, Olympiaweg 350, 3078 HT Rotterdam, The Netherlands, The Netherlands aut NATIONALLICENCE 700 1- Plaisier P. W. Department of General Surgery , St. Clara Hospital, Olympiaweg 350, 3078 HT Rotterdam, The Netherlands, The Netherlands aut NATIONALLICENCE 700 1- Meijer W. S. Department of General Surgery , St. Clara Hospital, Olympiaweg 350, 3078 HT Rotterdam, The Netherlands, The Netherlands aut NATIONALLICENCE 700 1- Lange J. F. Department of General Surgery , St. Clara Hospital, Olympiaweg 350, 3078 HT Rotterdam, The Netherlands, The Netherlands aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/9(2000-09-01), 862-864 0930-2794 14:9<862 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer