Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Safe technique for laparoscopic entry into the abdominal cavity.

G M Roy1, L Bazzurini, E Solima

  • 1Center for Fertility and Women's Health, NBGH (N-3), 100 Grand Street, New Britain, CT 06050, USA.

The Journal of the American Association of Gynecologic Laparoscopists
|October 26, 2001
PubMed
Summary

This study compared laparoscopic entry methods. A perpendicular cannula insertion at the umbilicus offers the safest abdominal entry, maximizing distance to organs and minimizing vascular risk.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A case report: Hypoxic ischemic encephalopathy & pneumonia in a neonate after SARS-CoV-2 intrauterine transmission.

Journal of neonatal-perinatal medicine·2022
Same author

Impact of endometriosis on obstetric outcome after natural conception: a multicenter Italian study.

Archives of gynecology and obstetrics·2021
Same author

Endometriosis: seeking optimal management in women approaching menopause.

Climacteric : the journal of the International Menopause Society·2019
Same author

Does the Difference in Fascial Closure Surgical Technique Affect Post-Operative Pain?

Journal of minimally invasive gynecology·2016
Same author

Vaginal Uterine Morcellation Within a Specimen Containment System: A Study of Bag Integrity.

Journal of minimally invasive gynecology·2016
Same author

Red blood cell transfusions increase fecal calprotectin levels in premature infants.

Journal of perinatology : official journal of the California Perinatal Association·2015

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Anatomy
  • Gynecologic Laparoscopy

Background:

  • Laparoscopic abdominal entry is a critical step with potential risks.
  • Optimizing safety during initial trocar insertion is essential for patient outcomes.

Purpose of the Study:

  • To evaluate and compare the safety and efficacy of a novel method for entering the abdominal cavity during laparoscopy.
  • To identify optimal insertion techniques to minimize injury risk.

Main Methods:

  • The study involved 20 women with varying body mass indexes undergoing laparoscopy.
  • Measurements of abdominal wall thickness and distances to the peritoneal cavity were taken.
  • Different abdominal lifting techniques were assessed for their effectiveness in creating space.

Related Experiment Videos

Main Results:

  • Perpendicular insertion at the umbilical base traversed the shortest distance through the least vascular abdominal wall area.
  • A 45-degree insertion angle resulted in significantly longer traversal distances compared to 90 degrees.
  • Lifting the abdominal wall with towel clips at the incision edges created the greatest space between the peritoneum and viscera.

Conclusions:

  • A perpendicular cannula insertion technique at the umbilical base is recommended for safe laparoscopic entry.
  • Utilizing towel clips at the intraumbilical incision edges maximizes safety margins during abdominal entry.