There remains no clear evidence as to the optimal form of laparoscopic entry in the low-risk patient. However, direct entry may be an under-utilised and safe alternative to the Veress needle and open entry technique.
A case of failed cervical pregnancy with a levonorgestrel-containing intra-uterine contraceptive device (Mirena) is reported. Such a case has not previously been reported in the English language literature. However, there have been case reports from Europe of tubal pregnancy with Mirena. 1,2,3
The majority of respondents use the Veress needle method of entry, have had at least one entry-related bowel injury and use Palmer's point as an alternative entry site in high-risk subjects. The majority of subjects would alter their clincal practice if accepted entry technique guidelines were available.
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