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Key Clinical MessageBlunt abdominal trauma is a rare case of intestinal obstruction, and only few cases have been reported in the world literature. Stenotic intestinal obstruction following blunt abdominal trauma is a very rare complication. This case highlights the need for clinical suspicion serial clinical assessment and radiological evaluation and the need for early surgery in patients presenting with abdominal symptoms following blunt abdominal trauma.

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Introduction: In minimal access surgery, the technique of first entry in the human body with the telescope and instruments is called the access technique. Laparoscopic access is of two types: closed and open access. 1,2 Here we are analyzing the merits and demerits of two entry techniques and the incidence of complications in both techniques. Comparison is between the blind technique by using the Veress needle and the undervision technique by using Visiport. Aim of study: To assess, evaluate, and compare the incidence of complications in blind and clear view access techniques in laparoscopic surgery. Materials and methods: A total of 150 cases of laparoscopic surgeries using the Veress needle and 150 cases of laparoscopic surgeries done by Visiport have been reported. (All laparoscopic surgeries were done in the General Surgery Department in Rashid Hospital from January 1, 2015 to December 12, 2015.) Result: In this study of comparison, both techniques were seen to have been associated with their own complications. But Visiport is a safe and faster method of creating pneumoperitoneum, though there was a statistically insignificant major vascular injury. It happened with an inexperienced surgeon. Conclusion:Visiport is a safe and faster method of creating pneumoperitoneum in laparoscopic surgery.

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