Box stitch modification of Hasson technique for pediatric laparoscopy

Laparoscopy has been recognized as the modality of choice for the treatment of many diseases in urology, gynecology, and general surgery, Although lap aroscopy is minimally invasive, the most frequent complications are associa ted with entry through the abdominal wall. The Hasson (open) technique was developed to minimize the complications by entering the abdomen under direc t vision. We have modified the Hasson technique with a stitch that is easy to perform, creates a tight fascial seal, allows easy exchange of trocars, and produces an effect that is cosmetically appealing.