A simple and safe technique of creating closed pneumoperitoneum

Laparoscopic surgery has become the standard of care for many diseases like symptomatic gallstone disease, acute appendicitis, achalasia and gastroesophageal reflux disease. One of the key steps in the procedure is to obtain pneumoperitoneum and insert the first trocar safely. We describe a simple technique which detects the precise entry point when the reusable metallic Veress needle enters the peritoneal cavity.