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A Modified Open Primary Laparoscopic Surgery Port Placement through Umbilical Tube

BACKGROUND: A safe, reliable technique for primary trocar introduction is important for laparoscopic surgery. In resource-constrained settings where there is paucity of needed equipment and cost is prohibitive, a method utilizing fewer instruments will be useful. AIM: This study aims to describe a m...

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Autores principales: Ismaila, Bashiru Omeiza, Alayande, Barnabas T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452752/
https://www.ncbi.nlm.nih.gov/pubmed/31007517
http://dx.doi.org/10.4103/njs.NJS_34_18
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author Ismaila, Bashiru Omeiza
Alayande, Barnabas T
author_facet Ismaila, Bashiru Omeiza
Alayande, Barnabas T
author_sort Ismaila, Bashiru Omeiza
collection PubMed
description BACKGROUND: A safe, reliable technique for primary trocar introduction is important for laparoscopic surgery. In resource-constrained settings where there is paucity of needed equipment and cost is prohibitive, a method utilizing fewer instruments will be useful. AIM: This study aims to describe a method of primary trocar introduction that utilizes any available port. METHODS: A supra- or infra-umbilical incision is made into an everted tubular umbilicus. The linear alba is incised and the resultant opening bluntly developed, after which any available port is inserted using the trocar as a guide. The trocar is withdrawn while the sleeve is pushed in. RESULTS: One hundred and three successful insertions were affected in 107 patients with age range of 1–75 years, with no significant gas leaks. CONCLUSION: This modified open approach is a simple and reliable way of primary port insertion. Access is gained easily in different age groups and umbilicus types.
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spelling pubmed-64527522019-04-19 A Modified Open Primary Laparoscopic Surgery Port Placement through Umbilical Tube Ismaila, Bashiru Omeiza Alayande, Barnabas T Niger J Surg Original Article BACKGROUND: A safe, reliable technique for primary trocar introduction is important for laparoscopic surgery. In resource-constrained settings where there is paucity of needed equipment and cost is prohibitive, a method utilizing fewer instruments will be useful. AIM: This study aims to describe a method of primary trocar introduction that utilizes any available port. METHODS: A supra- or infra-umbilical incision is made into an everted tubular umbilicus. The linear alba is incised and the resultant opening bluntly developed, after which any available port is inserted using the trocar as a guide. The trocar is withdrawn while the sleeve is pushed in. RESULTS: One hundred and three successful insertions were affected in 107 patients with age range of 1–75 years, with no significant gas leaks. CONCLUSION: This modified open approach is a simple and reliable way of primary port insertion. Access is gained easily in different age groups and umbilicus types. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6452752/ /pubmed/31007517 http://dx.doi.org/10.4103/njs.NJS_34_18 Text en Copyright: © 2019 Nigerian Journal of Surgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Ismaila, Bashiru Omeiza
Alayande, Barnabas T
A Modified Open Primary Laparoscopic Surgery Port Placement through Umbilical Tube
title A Modified Open Primary Laparoscopic Surgery Port Placement through Umbilical Tube
title_full A Modified Open Primary Laparoscopic Surgery Port Placement through Umbilical Tube
title_fullStr A Modified Open Primary Laparoscopic Surgery Port Placement through Umbilical Tube
title_full_unstemmed A Modified Open Primary Laparoscopic Surgery Port Placement through Umbilical Tube
title_short A Modified Open Primary Laparoscopic Surgery Port Placement through Umbilical Tube
title_sort modified open primary laparoscopic surgery port placement through umbilical tube
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452752/
https://www.ncbi.nlm.nih.gov/pubmed/31007517
http://dx.doi.org/10.4103/njs.NJS_34_18
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