Open AccessCOMPARATIVE STUDY OF PRESSURE PROFILE TEST VERSUS PALMER’S TEST IN PREDICTING CORRECT INTRA-PERITONEAL PLACEMENT OF VERESS NEEDLE PRIOR TO INSUFFLATION DURING LAPAROSCOPIC SURGERIES
Author(s) -
. Divya,
Neelam Rajput
Publication year - 2020
Publication title -
international journal of medical and biomedical studies
Language(s) - English
Resource type - Journals
eISSN - 2589-8698
pISSN - 2589-868X
DOI - 10.32553/ijmbs.v4i2.952
Subject(s) - medicine , veress needle , laparoscopy , insufflation , observational study , obstetrics and gynaecology , peritoneal cavity , overweight , laparoscopic surgery , surgery , gynecology , obesity , pregnancy , biology , genetics
Background: Laparoscopy is an important and common method of accessing the peritoneal cavity to perform many types of gynaecologic surgery. Clearly safety of entry is of the utmost importance and despite debate regarding the preferred method of achieving peritoneal access; there is no single technique with demonstrated superiority.
Methods: All consecutive patients who had a legitimate indication and declared fit to undergo a laparoscopic operation in the Department of Obstetrics and Gynaecology, K D Medical College, Hospital & Research Center; Mathura (UP) underwent a prospective observational study. There were no exclusion criteria.
Results- In normal weight category sensitivity, specificity, PPV, NPV, were 0.99, 1, 1and 0.75 respectively. In overweight category sensitivity and PPV were 1, and 0.97 respectively. In obese category sensitivity, PPV, were 1and 1 respectively
Conclusion: So we can see that pressure profile test shows higher sensitivity and PPV across all grades of surgeons as well as higher specificity and NPV.
Keywords: Sensitivity, specificity, overweight.