Transuterine insertion of Veress needle in laparoscopy.

A pneumoperitoneum separating the anterior abdominal wall from the intraperitoneal organs is essential to view the pelvic organs and to perform laparoscopic surgery. A Veress needle was inserted through the uterine fundus to establish a pneumoperitoneum in 100 women undergoing laparoscopy for sterilization or diagnostic purposes. The transuterine approach was chosen for 86 women because of obesity and for 14 because a previous abdominal insertion had been unsuccessful. There were no complications associated with the transuterine Veress needle placement. This method should be considered for obese patients and for those women in whom the transabdominal approach is unsuccessful.