Abstract

Prior to an IVF cycle, bilateral salpingectomy was planned. At laparoscopy, Palmer’s point (3 cm below the left subcostal margin in the mid-clavicular line) was used for insertion of the Veress needle.1 Moderate omental adhesions at the level of the umbilicus were seen. Unexpected adhesions were also noted when the port site at Palmer’s point was inspected (Figures 1 and 2). Insertion of the Veress needle at Palmer’s point is considered safe in patients with peri-umbilical adhesions2; however adhesions at Palmer’s point may still be found.

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