Level 4 | A safe area for Veress needle insertion usually is in the right or left upper quadrant. However, most surgeons prefer an open access (Hasson) in the left or right subcostal region but modify the insertion site depending on previous surgery and expected adhesions. |
The location of the trocars is influenced by the location of the hernia defect or defects. | |
The use of 30° and 45° scopes provides better visualization of the inner aspect of the abdominal wall. |