Abstract
Initial entry to the abdomen is by direct puncture at the umbilicus.1 Briefly, the umbilicus is firmly elevated with Lane’s tissue holding forceps and the very centre of the umbilicus incised with a 23 Swann Morton scalpel blade. Usually, the blade incises the fascia but often does not divide the peritoneum. Artery forceps are introduced through the incision to bluntly break through the peritoneum and a 10 mm laparoscopic cannula is introduced over a blunt tipped trocar (soon to be available from Karl Storz, Tuttlingen, Germany). Alternative entry methods are the cut down technique described by Hasson and the use of a Verres needle to create the pneumoperitoneum.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Annals of the Royal College of Surgeons of England
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
