The concept of non-umbilical first blind port laparoscopic entry

of cyst contents. Hence it will be prudent to use a non - umbilical approach. All this discussion clearly points to adopting a non-umbilical approach in more advanced situations. As we consider the concerns of major vessel injury via direct hit through veress or trocar or visceral injuries in case of bowel adhesions. May be, if we adopt the first blind entry through non-umbilical approach especially in vulnerable cases, we can avoid lot of complications due to the umbilical entry.