Creation of pneumoperitoneum by puncturing the abdominal cavity subcostally on the left with the Veress needle.
Placement of the first trocar (5mm) with a blunt obturator approximately 3 cm cranial to the navel. After an orienting inspection of the abdominal cavity, three additional 5mm trocars are introduced under vision (5mm optics) in the left-lateral mid-abdomen and in the right mid-abdomen. Finally, the fourth trocar is placed suprapubically.
Tip:
Before each incision, the skin is infiltrated with a local anesthetic.