Jain point: A new safe portal for laparoscopic entry in previous surgery cases
| Autor: | Swati Kanawa, Sonika Mann, Nutan Jain, Vandana Jain, Sweta Sareen, Sunil Gupta |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Umbilicus (mollusc) medicine.medical_treatment Anterior superior iliac spine primary port Tertiary care lcsh:Gynecology and obstetrics 03 medical and health sciences 0302 clinical medicine Port (medical) periumbilical adhesions Medicine Laparoscopy lcsh:RG1-991 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Retrospective cohort study Surgery medicine.anatomical_structure Reproductive Medicine 030220 oncology & carcinogenesis Referral center Original Article business palmer's point |
| Zdroj: | Journal of Human Reproductive Sciences, Vol 9, Iss 1, Pp 9-17 (2016) Journal of Human Reproductive Sciences |
| ISSN: | 1998-4766 0974-1208 |
| Popis: | INTRODUCTION: The present study was performed to assess the safety and feasibility of a new laparoscopic entry site in cases suspected of adhesions due to previous surgery. MATERIALS AND METHODS: It is a retrospective study undertaken at a tertiary care referral center for advanced gynecological laparoscopic surgery from January 2011 to December 2014. RESULTS: In 624 patients with a history of previous abdominal surgeries, the laparoscopic entry site was through a newly devised point. It is a point in the left paraumbilical region at the level of umbilicus, in a straight line drawn vertically upward from a point 2.5 cm medial to anterior superior iliac spine. Intra-abdominal adhesions were found in 487 (78.0%) patients, and umbilical adhesions in 404 (64.7%) patients with past abdominal surgeries. CONCLUSION: There were no significant entry-related, intra-operative, or postoperative complications with the use of this entry point. It is also suitable as a main working port during the course of surgery. |
| Databáze: | OpenAIRE |
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