Laparoscopic entry · Rescue · D43
What the first look shows
Allow about two minutes for three rounds. This scenario is teaching content; the score supports revision and does not assess clinical competence.
The scenario
- Transperitoneal laparoscopy.
- Entry by Veress needle at the umbilicus in a patient with a previous midline laparotomy, then the first port.
What you see
- The camera comes in.
- Loops of small bowel lie directly under the port.
- On one loop there is a fresh serosal tear with a bead of bile-stained fluid.
Teaching only · not for diagnosis or treatment decisions