Revivification of direct trocar insertion technique at laparoscopy in Tanta University Hospital

A technique using direct trocar insertion for laparoscopy was used in 114 cases in Department of Obstetrics and Gynaecology, Unit A, of Tanta University Hospital. Critical surgical points were emphasized: adequate relaxation, sharp trocars, elevation of the abdominal wall and proper trocar insertion. The technique was safe and no complications were encountered except failure of the procedure in 3 cases only. It has had the following advantages one puncture less, time saving, pneumoperitoneum was done under vision, less amount of gas and proper steadiness of the sleeve in situ