Laparoscopic entry: the modified alwis method and more.
REVIEWS IN OBSTETRICS & GYNECOLOGY 2009;
2:193-198. [PMID:
19826577 PMCID:
PMC2760894]
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Abstract
Despite the rapid advances in laparoscopic surgery in the past 2 decades, the initial entry still accounts for approximately 40% to 50% of laparoscopic complications and should be considered the most dangerous step of a laparoscopic procedure. In this review, the authors share a technique for initial umbilical entry, and provide alternative entry sites in cases where umbilical entry is contraindicated.
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