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The SAGES describes a closed entry can be considered, however, in our opinion, an open-entry technique is preferable.
When periumbilical adhesions are suspected, either an open entry technique or a closed entry at a different location (preferably Palmers' point) must be performed.
These patients are at particular risk for retroperitoneal vascular injury during primary entry and for this reason, the open entry technique or closed entry at Palmer's point are preferable.
However, the closed entry to Khao-i-Dang did not deter people from trying to get in.
The building has a central closed entry pavilion which projects out and has two porches oriented to face Mulberry and Cedar Street.
On the converse arrangement (open to closed entry), no change was seen.
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Time spent in open and closed arms, number of open and closed entries, and time in the middle was calculated.
Prior to the closed-entry technique, the patient is catheterized or an indwelling catheter is inserted.
Basically, two different entry techniques can be distinguished׃ the open- and closed-entry technique.
In pregnant patients, the open-entry technique or closed-entry technique via Palmers' point is preferred.
This risk is inherent in the closed-entry technique and thus vigilance is needed.
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