Advanced laparoscopic techniques can be challenging to perform because
tactile sensation is limited with available laparoscopic instrumentat
ion. Described is a technique of placing the surgeon's hand into the p
eritoneal cavity while maintaining pneumoperitoneum. Use of the hand a
llows for easy exposure, complete exploration, meticulous dissection,
and immediate hemostasis. Our experience reveals patients have a short
hospital stay and recuperation time.