Visually Guided Z Technique to Insert the Endopath Optiview

Visually guided Z insertion of the Endopath Optiview was evaluated in 200 consecutive women undergoing elective laparoscopic sterilization in an ambulatory setting. The technique was employed to establish the primary intraabdominal surgical port. All cases were completed successfully. There were no failed insertions and no multiple attempts to enter the abdominal cavity. Direct visualization while inserting the Endopath Optiview is important to localize the tip of the advancing instrument at any given moment. It lets the surgeon choose the shortest route in the abdominal wall and change the angle of the instrument when appropriate.