Alternative ways of entry: different techniques to go into the abdominal cavity safely
Epublication WebSurg.com, Jan 2012;12(01). URL: http://websurg.com/doi/vd01en3557
Laparoscopy is a type of minimally invasive surgery with known advantages over laparotomy: reduced risk of any adverse effect of surgery, reduced pain and fewer days in hospital. Access to the abdominal cavity is the first challenge, as at least 50% of gastrointestinal and major blood vessel complications occur during the first umbilical trocar insertion. For this reason it is fundamental to know the anatomy of the abdominal wall in order to safely place the trocars during laparoscopic surgery.