LETTERS

Use of laparoscopic instruments challenged

I would like to congratulate Dr. John George on his very thorough article, “Laparoscopic evaluation of the pelvis: refocusing on the basics” [September].

I do, however, have 2 concerns. First, Dr. George states that the surgeon should “insert a…0° laparoscope into the channel of a 10-12 transparent, bladeless trocar.” I do not know of any data suggesting that a 10-12 transparent bladeless trocar is any safer or easier to use than a simple reusable metal trocar. If Dr. George’s recommendation is based on any scientific data, I would enjoy seeing that information.