Assessment of the Safety of the Supraumbilical Compression Technique in Closed Laparoscopic Entry

Aim: It was aimed to assess the safety of the external supraumbilical compression technique in closed entry in laparoscopy. Material and Method: In this prospective study, a total of 65 patients were randomised into 3 groups; Group 1 (n=22) with closed laparoscopic entry with an intraabdominal pressure (IAP) of 15 mmHg obtained by CO2 insufflation, Group 2 (n=22) with an IAP of 25 mmHg obtained by combined usage of supraumbilical compression and CO2 insufflation and Group 3 (n=21) with an IAP of 25 mmHg achieved by CO2 insufflation alone. Groups were compared in respect of the insufflated volume of CO2, pneumoperitoneum distances, operation onset-to-trocar entry interval, and surgical complications. Results: The pneumoperitoneum distance was determined as 8.4, 7, 11.2 cm in Groups 1, 2 and 3 respectively (