Extraperitoneal endoscopic access to the pelvic regions via a suprapubic route

Transperitoneal endoscopic access for operations on the extraperitoneal pelvic regions exposes the patient to greater complications compared with the traditional surgical technique and increases the risk of operative morbidity. Access can be gained to the pelvic extraperitoneal space by suprapubic puncture, positioning the needle by insufflation in a midline position 1 cm above the pubis between the linea alba and the vesicoumbilical fibrous septum.