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Video Library

Open Laparoscopy

Open Laparoscopy: Overview

Harrith M. Hasson, MD

Laparoscopy can be easily performed with the use of a minilaparotomy incision. This variation is called open laparoscopy. The difference between open and traditional closed laparoscopy relates specifically to the method of abdominal entry, the sequence of entry/insufflation, and the type of abdominal wall closure. All other aspects of laparoscopy remain unchanged.

In open laparoscopy, the abdomen is first entered through a minilaparotomy incision developed under visual control. A specific cannula carrying a blunt obturator then is introduced through the incision into the abdominal cavity. Gas is insufflated directly through the cannula. The obturator is removed and replaced with the laparoscope, and the appropriate endoscopic procedure is carried out. When the procedure is completed, the cannula and scope are removed and the abdominal wall is closed in layers.