Improving the ease and safety of laparoscopy: a technique for open insertion of the umbilical trocar.
BACKGROUND: Sharp cannulation of the abdominal cavity for laparoscopy occasionally causes life-threatening injury to major vessels. METHODS: A technique of open cannulation is described to minimize this risk. RESULTS: In over 2000 general surgical laparoscopies performed the Flinders Medical Centre, there were no major vessel injuries and only one bowel injury (prior to laparotomy). CONCLUSIONS: We advocate the use of open technique to minimize injuries caused by abdominal cannulation for laparoscopy.
Abdominal Muscles↗