J Min Access Surg Close
 

Figure 4: First trocar entry in obese, with intra-abdominal pressure 15 mmHg, Veress needle is withdrawn. Ten degree Trendelenburg, trocar tip in centre of sheath incision, retractors elevated. Assistant exerts strong pressure on soft supra-umbilical gas bubble, pushing gas into pelvis. Index finger is deep in longer, deeper incision against the sheath as guard, the trocar is gently glided in

Figure 4: First trocar entry in obese, with intra-abdominal pressure 15 mmHg, Veress needle is withdrawn. Ten degree Trendelenburg, trocar tip in centre of sheath incision, retractors elevated. Assistant exerts strong pressure on soft supra-umbilical gas bubble, pushing gas into pelvis. Index finger is deep in longer, deeper incision against the sheath as guard, the trocar is gently glided in