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WJOLS

Comparison between Different Entry Techniques in Performing Pneumoperitoneum in Laparoscopic Gynecological Surgery

Fig. 1: Different access technique

insufflations commenced after visualizing omentum that it is faster, eliminate the risk of gas embolism, and
and bowel. Long standing controversy remains about significantly reduces the vascular and bowel injuries
the optimal primary access technique. Some authorities related to primary access. However, there is conflicting
believe that Hasson open technique is superior to the evidence between different studies and there is no unified

classic closed entry technique defending their views in opinion regarding this issue (Fig. 2). 14

Fig. 2: Hasson’s technique
World Journal of Laparoscopic Surgery, September-December 2015;8(3):101-106 103