Safe insertion of Veress needle for the induction of pneumoperitoneum: a technical note

J Surg Case Rep. 2023 Jun 1;2023(6):rjad311. doi: 10.1093/jscr/rjad311. eCollection 2023 Jun.

Abstract

Techniques for the induction of pneumoperitoneum for laparoscopic surgery remain varied as complication risk remains with all techniques. Veress needle is used for the induction of pneumoperitoneum as a technique of preference or when an open technique is considered challenging as in obese patients. We present a novel safe technique for insertion of Veress needle by measuring the depth of the anterior abdominal wall prior to insertion. Accurate measurements help in the safe insertion of the Veress needle for inducing pneumoperitoneum and hence reduce the incidence of intra-abdominal injuries.