Saidi M H
J Reprod Med. 1986 Aug;31(8):684-6.
It has been assumed that pneumoperitoneum is a requirement prior to insertion of the laparoscope trocar and sleeve. The results of direct trocar insertion without prior establishment of pneumoperitoneum were documented in 1,108 consecutive laparoscopies. No technical failures or operative complications attributable to the method were encountered. In sterilization procedures using the Falope Ring, less than 1L of carbon dioxide was used, resulting in less post-operative abdominal and shoulder pain. Subcutaneous hemorrhage was significant, although all the symptoms disappeared without treatment. Use of this method with obese patients created no major problem.
一直以来，人们认为在插入腹腔镜套管针和套管之前需要建立气腹。在连续1108例腹腔镜手术中记录了直接插入套管针而未事先建立气腹的结果。未遇到因该方法导致的技术失败或手术并发症。在使用法洛环的绝育手术中，使用的二氧化碳少于1升，术后腹部和肩部疼痛较轻。皮下出血较为明显，不过所有症状未经治疗均消失。对肥胖患者使用该方法未出现重大问题。
