Page 51 - Journal of Laparoscopic Surgery - WALS Journal

WJOLS

Laparoscopic Entry: A Hybrid Technique of Open Hasson and Direct Trocar Access
a year now and have found it easy and reliable, without alba is slightly lateral, the entry with trocar might be
any injuries whatsoever. through different layers of the abdominal wall like rectus
muscle, posterior rectus sheath, and peritoneum leading
DIFFICULT SITUATIONS to difficulty in either extending incision for specimen
removal or for closure of the sheath.
The difficult situations are the same as what one faces for
other techniques like previous scar in the upper abdomen REFERENCE
or hernia at umbilicus; in such cases palmer’s point 1. Gould JC, Philip A. Principles and techniques of abdominal
can be preferred for insertion of either Veress or direct access and physiology of pneumoperitoneum. Sci Am Surg
5 mm trocar depending on experience. If the cut in linea 2011;8:P1-P9.

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