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

ABSTRACT

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