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Video Library

Open Laparoscopy

Open Laparoscopy: Basic Technique

Harrith M. Hasson, MD

Safe and effective performance of open laparoscopy is based on four tenets:

1. Dissection of the minilaparotomy incision in layers and elevation of the fascia and deeper layers during incision

2. After visual confirmation of abdominal entry, insufflation of gas into the abdomen directly through the cannula with the blunt obturator in place

3. Blocking the escape of gas from the abdomen

4. Proper closure of the fascial defect at the end of the procedure