Direct puncture technique for laparoscopy.

The rapid increase in laparoscopy has resulted in accidents during the insertion of the Veress needle (1). The Hasson technique of cut down and open insertion is a safe altemative, but requires a larger incision and suturing of the modified cannula into the wound. It has not been an attractive option for most laparoscopists unless there is a previous abdominal scar very close to the umbilicus. This paper describes a simple and safe technique of direct puncture laparoscopy which allows rapid insertion of a trocar without the use of a Veress needle or a formal cut-down technique.