Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 May;98(5):340-1.
doi: 10.1308/rcsann.2016.0114.

Z-entry technique reduces the risk of trocar-site hernias in obese patients

C Cisano  1 , P Sapienza  1 , D Crocetti  1 , G de Toma  1
Affiliations

Z-entry technique reduces the risk of trocar-site hernias in obese patients

C Cisano et al. Ann R Coll Surg Engl. 2016 May.
No abstract available

PubMed Disclaimer

Figures

Figure 1
Figure 1
Trocar placement using the Z-entry technique. A) The trocar is inserted in a perpendicular direction through the anterior sheath plane by applying traction to the skin with towel clips. B) Movement at 45° is made through the muscular plane. C) Trocar in inserted through the posterior sheath plane, preperitoneal fat, and peritoneum at 90°. Inlays show the operative view.
See this image and copyright information in PMC

References

    1. Günenç MZ, Yesildaglar N, Bingöl B et al. . The safety and efficacy of direct trocar insertion with elevation of the rectus sheath instead of the skin for pneumoperitoneum. Surg Laparosc Endosc Percutan Tech 2005; : 80–81. - PubMed
    1. Altun H, Banli O, Karakoyun R et al. . Direct trocar insertion technique for initial access in morbid obesity surgery: technique and results. Surg Laparosc Endosc Percutan Tech 2010; : 228–230. - PubMed
    1. Berch BR, Torquati A, Lutfi RE, Richards WO. Experience with the optical access trocar for safe and rapid entry in the performance of laparoscopic gastric bypass. Surg Endosc 2006; : 1,238–1,241. - PubMed
    1. Crocetti D, Sapienza P, Pedullà G, De Toma G. Reducing the risk of trocar site hernias. Ann R Coll Surg Engl 2014; : 558. - PMC - PubMed

MeSH terms