Umbilical stalk technique for establishing pneumoperitoneum

Alfredo M. Carbonell, Kristi L. Harold, Trina I. Smith, Brent D. Matthews, Ron F. Sing, Kent W. Kercher, B. Todd Heniford

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

The Veress needle technique for establishing pneumoperitoneum is widely used yet associated with slow insufflation and potentially life-threatening complications. The open or Hasson technique is relatively safer but considered cumbersome by many. We describe a mini-open technique that uses a 5-mm transumbilical incision and placement of a 5-mm blunt cannula without the trocar. We have employed this technique for 4 years in 600 patients without a midline laparotomy incision incorporating the umbilicus and have accessed the abdomen safely for laparoscopy without any complications. The time from skin incision to the start of the procedure is usually under 2 minutes. Our umbilical stalk technique provides rapid and safe access to the abdomen, eliminating the dangers of a blind sharp needle or trocar insertion and the need for a larger incision with placement of stay sutures. We recommend this simple technique for entry into the uncomplicated abdomen.

Original languageEnglish (US)
Pages (from-to)203-206
Number of pages4
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques - Part A
Volume12
Issue number3
DOIs
StatePublished - Jan 1 2002

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ASJC Scopus subject areas

  • Surgery

Cite this

Carbonell, A. M., Harold, K. L., Smith, T. I., Matthews, B. D., Sing, R. F., Kercher, K. W., & Heniford, B. T. (2002). Umbilical stalk technique for establishing pneumoperitoneum. Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A, 12(3), 203-206. https://doi.org/10.1089/10926420260188119