Our preferred entry technique is use of a Veress needle inserted into the left-upper quadrant. Gastric decompression with an orogastric tube prior to needle insertion minimizes the risk of gastric perforation. The needle should be angled approximately 15 degrees caudad to minimize the risk of splenic injury. Placement of a supraumbilical port 6 cm above the fundus with a Hasson technique is another entry method that reduces the risk of organ perforation.
Graphic 70365 Version 3.0
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