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A SAFE, NEW APPROACH TO ESTABLISHING A PNEUMOPERITONEUM AT LAPAROSCOPY
Author(s) -
Karatassas A.,
Walsh D.,
Hamilton D. W.
Publication year - 1992
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1992.tb07231.x
Subject(s) - umbilicus (mollusc) , medicine , pneumoperitoneum , veress needle , laparoscopy , abdominal wall , surgery , general surgery
The traditional method of establishing a pneumoperitoneum before laparoscopic surgery is via a Verres needle inserted in the midline below the umbilicus while tenting the abdominal wall with the hand. A new approach is described in which preliminary surgical exposure and tenting of the linea alba immediately above the umbilicus is achieved before needle insertion through the superior margin of the umbilical ring. The advantages of this new technique over the conventional method are discussed. Further technical features important in the safe formation of the pneumoperitoneum are emphasized.