P-07 Lateral ballottement during optical access trocar insertion: a new standard

Optical access trocars incorporate a clear tip to allow active visualization during fascial entry. They have been found to reduce insertion time, entry wound size, and force of insertion. However, it has been reported that optical trocars do not lower the occurrence of major complications, such as air embolism or retroperitoneal vascular injury. To reduce major complications, this study proposes a simple lateral ballottement. Unlike anterior traction (abdominal lifting), lateral ballottement increases the distance between incision site and retroperitoneal structures, especially major blood vessels.