Also I between obesity and pneumoperitoneum

During initial trocar access for eTEP- An observational

study

INTRODUCTION-

There are different techniques available to take initial trocar acess for eTEP RS. The

commonly followed method is visi port access. But its very difficult to use disposable visiport

intruments in general and charitable hospitals. In tribal and rural india ,open acess with steel

trocar and canula is still the preferred method.

AIM-

Aim of this study is to correlate between obesity and pneumoperitoneum in initial trocar

access for eTEP whether it is for inguinal or ventral hernia.

MATERIALS AND METHODS-

Prospective study of all eTEP procedures done in single institute has been conducted to see

if patient has developed pneumoperitoneum just after initial trocar access for eTEP .

RESULTS-

T otal 102 eTEP procedures done in our institute between march 2023 to april 2023.

Male patients were-75

Female patients were-27

Average BMI-23

Patients with BMI more than 30-25

T otal number of patients in which pneumoperitoneum occured-22

T otal number of patients with BMI more than 30 in which pneumoperitoneum occured-15

T otal number of patients with BMI less than 30 in which pneumoperitoneum occured-7

CONCLUSION-

We have found that pneumoperitoneum occured more in obese patients as there is thin

posterior rectus sheath and peritoneum. BMI is good predictive indicator of

pneumoperitoneum for eTEP surgery.