| Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc |
| Journal website https://jcgo.elmerpub.com |
Original Article
Volume 000, Number 000, December 2024, pages 000-000
Should We Continue Using Palmer’s Test to Check the Correct Positioning of the Veress Needle During Laparoscopic Access?
Tables
| PT | NPT | P | |
|---|---|---|---|
| BMI: body mass index; NPT: non-Palmer test; PT: Palmer test. | |||
| Mean age (years) | 40 (33 - 51) | 41 (27 - 55) | 0.07 |
| Average BMI (kg/m2) | 26 (20 - 32) | 26 (20 - 30) | 0.23 |
| Percentage of patients with history of laparotomy | 21.02 | 21.28 | 0.5 |
| Percentage of patients with urgent surgery | 16.4 | 16.4 | 0.5 |
| n | % | |
|---|---|---|
| Surgical indications | ||
| Adnexal pathology | 549 | 70.4 |
| Uterine pathology | 157 | 20.1 |
| Oncological pathology | 60 | 7.7 |
| Pelvic floor defects | 14 | 1.8 |
| Surgical procedures | ||
| Adnexectomy | 185 | 23.7 |
| Cystectomy | 178 | 22.8 |
| Hysterectomy | 155 | 19.9 |
| Salpingectomy | 151 | 19.4 |
| Myomectomy | 34 | 4.4 |
| Diagnostic laparoscopy | 24 | 3.1 |
| Definitive contraception | 17 | 2.2 |
| Oophorectomy | 12 | 1.5 |
| Colposacropexy | 12 | 1.5 |
| Hemostasis | 6 | 0.8 |
| Adhesiolysis | 4 | 0.5 |
| Hysterectomy + lymphadenectomy | 2 | 0.3 |
| Complications | PT | NPT |
|---|---|---|
| PT: Palmer test; NPT: non-Palmer test. | ||
| Total number of patients without complications | 358 | 381 |
| Subcutaneous emphysema | 15 | 4 |
| Minor wall vascular injury | 7 | 0 |
| Need for conversion to laparotomy due to inability to access | 5 | 0 |
| Anesthesia intolerance | 1 | 2 |
| Intestinal perforation | 3 | 0 |
| Epiploic emphysema | 0 | 3 |
| Major vascular injury | 1 | 0 |
| Need to change localization or access technique | 8 | 4 |
| Need for conversion to laparotomy due to complications during access | 19 | 0 |
| Adjusted OR | 95% CI | |
|---|---|---|
| BMI: body mass index; CI: confidence interval; OR: odds ratio; PT: Palmer test. | ||
| PT | 3.91 | 1.80 - 8.50 |
| BMI ≥ 25 (kg/m2) | 2.66 | 1.13 - 6.26 |
| History of previous laparotomy | 2.42 | 1.21 - 4.80 |
| ≥ 2 access attempts | 4.52 | 2.26 - 9.05 |