Reproperitoneoscopic surgery is minimal access surgical endoscopic inspection of the retroperitoneal structures is termed as retroperitoneoscopy. Earlier attempts at retroperitoneal surgery were largely unsuccessful due to inability to create and maintain an adequate working space thus favouring a transperitoneal approach. Undoubtedly, access to retroperitoneum and creation of a working space are the keys to success in retroperitoneal surgery. At World Laparoscopy Hospital , we have devised few new technique of retroperitoneoscopy which is simple, easily learned and requires no special materials. Initial space for introduction of primary trocar with sleeve is created using our indigenous balloon trocar technique followed by introduction of secondary ports under vision.
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