IMPROVING THE EASE AND SAFETY OF LAPAROSCOPY: A TECHNIQUE FOR OPEN INSERTION OF THE UMBILICAL TROCAR

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Abstract
Background: Sharp cannulation of the abdominal cavity for laparoscopy occasionally causes life‐threating injury to major vessels. Methods: A technique of open cannulation is described to minimize this risk. Results: In over 2000 general surgical laparoscopies performed the Flinders Medical Centre, there were no major vessel injuries and only one bowel injury (prior to laparotomy). Conclusions: We advocate the use of open technique to minimize injuries caused by abdominal cannulation for laparoscopy.

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