Direct insertion of the laparoscopic trocar after an earlier laparotomy

S. G. Kaali, G. Bartfai

Research output: Contribution to journalArticle

28 Citations (Scopus)


Direct insertion of the laparoscopic trocar without the aid of a prior pneumoperitoneum has been described previously. Prior laparotomy has been cited as a contraindication to this technique. At our free-standing ambulatory surgical unit, 1,670 consecutive laparoscopies utilizing direct insertion of the trocar were performed during a four-year period. Four hundred sixteen women had had previous abdominal surgery. One bowel injury occurred in this group. A patient without prior surgery sustained an intraabdominal laceration requiring further surgery and hospitalization. Based on this experience, we do not find previous abdominal surgery to be a contraindication to the use of direct insertion of the laparoscopic trocar.

Original languageEnglish
Pages (from-to)739-740
Number of pages2
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Issue number9
Publication statusPublished - Jan 1 1988


ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

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