Establishment of pneumoperitoneum through the left ninth intercostal space

H. Reich, M. Levie, F. McGlynn, L. Sekel

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


A simple technique for pneumoperitoneum needle insertion in patients presumed to have anterior abdominal wall adhesions from previous surgery, when abdominal obesity prevented successful umbilical insufflation, is described. The left ninth intercostal space (the lowest interspace above a fixed rib attached to the sternum) was chosen as this area is easily accessible, rarely has adhesions, and is void of major intra-abdominal organs. There were no complications from using this entry site. Three of 50 insertions failed to obtain free flow insufflation. The technique is simple and adds safety to laparoscopy in patients at risk for anterior abdominal wall adhesions, and entry-site flexibility when umbilical insufflation fails.

Original languageEnglish (US)
Pages (from-to)141-143
Number of pages3
JournalGynaecological Endoscopy
Issue number2
StatePublished - Jan 1 1995
Externally publishedYes


  • Laparoscopic insufflation
  • Laparoscopy
  • Pneumoperitoneum

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Obstetrics and Gynecology


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