Initial Access to the Peritoneal Cavity for Laparoscopic Surgery in Obese Patients

  • Charlotte Rabl
  • Guilherme M. Campos


With the increasing incidence of obesity [1–3], a growing number of obese patients (body mass index, BMI, greater than 30 kg/m2) are treated for common intra-abdominal diseases and also undergo weight loss or bariatric surgery [4, 5]. The use of laparoscopic techniques for general and bariatric surgery is preferred because it is associated with less postoperative pain, lower rates of wound infection and incisional hernias, faster recovery, shorter hospital stay, and earlier return to work [1, 6–10]. Obtaining safe access to the peritoneal cavity to create a pneumoperitoneum is a crucial step to start a laparoscopic operation, and it is, however, technically challenging and associated with more complications in obese and morbidly obese people [11]. To date, there is no clear consensus about the optimal method of entry into the peritoneal cavity, and therefore different techniques are available.


Bariatric Surgery Peritoneal Cavity Veress Needle Trocar Insertion Anterior Rectus Sheath 


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Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  • Charlotte Rabl
    • 1
  • Guilherme M. Campos
    • 2
  1. 1.Paracelsus Private Medical UniversitySalzburgAustria
  2. 2.University of Wisconsin School of Medicine and Public HealthMadisonUSA

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