Native Umbilical Defect for Laparoscopic Entry

Tarek Osama Hegazy,1 Mohamed Hassan Ali,1 Ahmed Amr Mohsen,2 Mahmoud Azhary,1 Ahmad Yahia Abdel Dayem,1

  1. Cairo University, Egypt

  2. National Research Centre, Cairo, Egypt

Correspondence to: Dr. Ahmad Yahia; email:


Background: The presence of defects in native umbilical in adults and its use as laparoscopic first entry site is poorly documented. It would likely be a safer method than the Veress needle and direct trocar insertion. This work aimed to report the prevalence and size of native umbilical defects, and their relationship with gender, age and body mass index. Methods: In 160 consecutive laparoscopic operations, a trans-umbilical incision was made and a defect at its base was looked for. When found, the defect was measured and used as the first port entry site. Relationships of presence of native defects and their sizes in relation to gender, age and BMI were analyzed. Results: The prevalence of a native defect in this series was 90%. Its presence had no relation with gender, age or BMI. Its size, however, positively correlated with age and BMI. No complications were related to the defect’s use for first laparoscopic entry site. Conclusion: A native umbilical defect is present in 90% of adults. Whenever present, it is recommended for use as the first port entry site by an open technique. This method is simple and safe and avoids unnecessarily inducing another defect.

Keywords: Laparoscopy, Open technique, Access, Native defect, Umbilical defect

Ann Afr Surg. 2020;17(3):116–119


Conflicts of Interest: None

Funding: None

© 2020 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

Submitted: 30 November 2019

Revised: 2 March 2020

Accepted: 29 March 2020

Online first: 29 May 2020


The Annals of African Surgery is the official publication of the Surgical Society of Kenya.


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