Microlaparoscopy using an optical Veress needle inserted at Palmer's point

Objective To avoid vascular and visceral injury in a patient undergoing lap aroscopic adhesiolysis and known to have extensive intra-abdominal adhesion s. Design An optical Veress needle nas used to establish pneumoperitoneum unde r direct vision through Palmer's point. Safe sites were identified for the insertion of the secondary trocars. Result Satisfactory laparoscopic adhesiolysis was performed without any com plications. Conclusion Microlaparoscopy using an optical Veress needle inserted through Palmer's point seems to be a safe technique for avoiding laparoscopic inju ry when extensive adhesions are suspected.