Laparoscopic Surgery: Results of a Modified Open Technique of Umbilical Port Insertion

Abstract

Insertion of first port and creation of pneumoperitoneum is a key step in laparoscopic surgery. A significant number of complications can be avoided by safe insertion of primary port. Various techniques of umbilical port insertion and their safety have been mentioned in literature. Closed method by using Veress needle is a blind procedure. Studies have shown that vascular injuries are more common with the Veress needle. Hasson first introduced the open technique of port insertion under direct vision. We used a modified open technique and analyzed the safety and efficacy in 80 cases.