Abstract

The best method of abdominal entry is a debated subject in laparoscopy. Despite Veress needle being highly popular, the evidence indicates that it carries a significantly increased risk of minor complications, likelihood of multiple insertions and failed entry. In this review, we have evaluated the available evidences regarding the two laparoscopic entry techniques i.e. direct trocar insertion viz-a-viz veress needle (VN) followed by primary trocar insertion.