Perioperative care: open laparoscopic entry: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Perioperative care: open laparoscopic entry

Sample item

A woman with previous midline laparotomies for peritonitis is scheduled for laparoscopic cholecystectomy. Which method of first entry lowers the risk of bowel injury?

ALeft upper quadrant needle through the costal margin onlyBBlind trocar insertionCOpen Hasson technique under visionDBlind Veress needle at the umbilicus

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Open Hasson technique under vision

Adhesions fix bowel to the abdominal wall, and blind needle or trocar entry can injure it. The open Hasson technique allows entry into the peritoneal cavity under direct vision.

Option by option

A. Left upper quadrant needle through the costal margin only
A left upper quadrant approach is an alternative needle site, not a safer technique by itself.
B. Blind trocar insertion
Blind trocar insertion carries the same risk.
C. Open Hasson technique under vision (correct)
Correct. Open entry under direct vision reduces bowel injury in a scarred abdomen.
D. Blind Veress needle at the umbilicus
A blind Veress needle risks injuring adherent bowel.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is C, Open Hasson technique under vision. Adhesions fix bowel to the abdominal wall, and blind needle or trocar entry can injure it.

Why is "Left upper quadrant needle through the costal margin only" not the answer?

A left upper quadrant approach is an alternative needle site, not a safer technique by itself.

Why is "Blind trocar insertion" not the answer?

Blind trocar insertion carries the same risk.

Why is "Blind Veress needle at the umbilicus" not the answer?

A blind Veress needle risks injuring adherent bowel.

What concept does this question test?

It tests Perioperative care: open laparoscopic entry in General Surgery. The open Hasson technique allows entry into the peritoneal cavity under direct vision.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Perioperative care: open laparoscopic entry?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.