Palmer's point
Pronunciation: PAL-merz point
An alternative anatomical location for initial laparoscopic access, located in the left upper quadrant.
Full Definition
Palmer's point is an anatomical landmark located 3cm below the left costal margin in the midclavicular line, used as an alternative site for initial laparoscopic access. This location is particularly valuable in patients with suspected periumbilical adhesions, previous abdominal surgery, or obesity where umbilical access may be risky. The point is named after French gynecologist Raoul Palmer and is considered safer for Veress needle insertion because adhesions are less common in this location, and it's away from major vessels. The left upper quadrant anatomy provides a relatively safe corridor for initial access.
Usage
Usage note: Always include possessive apostrophe - Palmer's, not Palmer or Palmers.
In Context
- "Due to previous surgery, access was obtained via Palmer's point in the left upper quadrant." — Operative report
- "The Veress needle was inserted at Palmer's point with good gas flow obtained." — Surgical procedure note