title: Open port placement through the umbilical cicatrix.
abstract: Peritoneal access and creation of pneumoperitoneum are the key initial steps of laparoscopic surgery. This is commonly achieved by either introducing Veress needle or by gradual dissection of all the layers of the abdominal wall and then introducing a port under direct vision. The two techniques are extremely safe, but large outcome studies have found slightly increased complications with the Veress needle. Randomized trials do not support such finding and both techniques continue to have their enthusiasts. We hereby describe an open method of initial port placement, wherein the port is introduced through the umbilical cicatrix under direct vision.
authors.affiliation: Department of Surgery, Rabindranath Tagore International Institute of Cardiac Sciences, 124 Mukundapur, Kolkata, 700 099 India.
authors.forename: Sagar
authors.initials: S
authors.lastname: Sadhu
authors.forename: Tarshid Ali
authors.initials: TA
authors.lastname: Jahangir
authors.forename: Sujit
authors.initials: S
authors.lastname: Sarkar
authors.forename: Sanjoy Kumar
authors.initials: SK
authors.lastname: Dubey
authors.forename: Manas Kumar
authors.initials: MK
authors.lastname: Roy
keywords: Laparoscopy; open port; umbilical cicatrix