Laparoscopic Access Technique

Access devices usually comprised an external cannula and a removable sharp pyramidal trocar for penetration from the abdominal wall, and were nearly universally positioned following establishment of the pneumoperitoneum. However, it is apparent that such devices and methods contribute to patient morbidity through visceral and vascular injury, as well as incision-related complications such as dehiscence and hernia.

There exist alternative methods to positioning insufflation needles and the initial cannula, which might lessen the incidence of vascular and visceral injury specifically in the face of previous abdominal surgery. Inserting the first cannula after minilaparotomy is assigned to a reduced risk of vascular injury, but visceral complications still occur. Some new access instruments may reduce the risk of some complications associated with 'blind entry', and although not all seem to be effective in this regard, some blunt-tipped devices now exist, which are surprisingly easy to position and may limit the risk of injury while significantly reducing the size the myofascial defect in the abdominal wall.

Port site metastasis is a relatively newly recognized complication of oncological surgery and is an issue, but further investigation is needed to determine whether such metastasis relates to a change in clinical outcome.


Click here to see Video Slide of Laparoscopic Surgery

Video Lectures of Prof.Dr.R.K.Mishra

Step-by step-laparoscopic operative procedure

These are only few sample free laparoscopic Videos. We have largest collection of Laparoscopic study material  on the web free for our Member Surgeons. Member can View and Download hundreds of high resolution Laparoscopic Videos, Pictures, Articles and PowerPoint  from password protected secure Private Member Area. The access to private member area is only to the surgeons, Gynaecologists, urologists and pediatric surgeons who has taken training at World Laparoscopy Hospital, Gurugram, NCR Delhi.

Need Help? Chat with us
Click one of our representatives below
Hospital Representative
I'm Online