EXTRAPERITONEAL ENDOSCOPIC ACCESS TO THE PELVIC REGIONS VIA A SUPRAPUBIC ROUTE

Transperitoneal endoscopic access for operations on the extraperitonea l pelvic regions exposes the patient to greater complications compared with the traditional surgical technique and increases the risk of ope rative morbidity. Access can be gained to the pelvic extraperitoneal s pace by suprapubic puncture, positioning the needle by insufflation in a midline position 1 cm above the pubis between the linea alba and th e vesicoumbilical fibrous septum.