Bowel injury in open technique laparoscopic cannula placement.

Open trocar placement is used by many surgeons during laparoscopy to avoid some of the potential complications of Veress needle and sharp trocar insertion. We describe a case of serosal bowel injury with a holding stitch placed to obtain an airtight peritoneal cavity during open laparoscopic trocar placement in a two-year-old patient. The importance of inspection of the initial umbilical puncture site is emphasized and a rapid, simple technique for repair of minor bowel injuries is described.