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In the direct insertion technique, the primary cannula–trocar assembly is placed without preinsufflation. This technique is not regularly performed in veterinary medicine but can be performed with either a bladed trocar and a blind technique or an optical trocar under some measure of direct visualization. Theoretical advantages include decreased time to establish abdominal laparoscopic access, but potential disadvantages may include a higher rate of trocar‐related intraabdominal injuries. Several published series evaluating the direct trocar placement technique have demonstrated that very low rates of injury are possible [10]. For inexperienced surgeons, the direct access technique is likely associated with unnecessary increased risk compared with alternative techniques [4, 11].

Optical trocar assemblies can also be placed with a direct technique. A gradual twisting motion is used, and distinct layers of the abdominal wall can be seen during entry.