Jain point: A new safe portal for laparoscopic entry in previous surgery cases
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 lap...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2016-01-01
|
Series: | Journal of Human Reproductive Sciences |
Subjects: | |
Online Access: | http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2016;volume=9;issue=1;spage=9;epage=17;aulast=Jain |
id |
doaj-add36182e0da4de88de8f34fb8c881df |
---|---|
record_format |
Article |
spelling |
doaj-add36182e0da4de88de8f34fb8c881df2020-11-24T23:19:31ZengWolters Kluwer Medknow PublicationsJournal of Human Reproductive Sciences0974-12081998-47662016-01-019191710.4103/0974-1208.178637Jain point: A new safe portal for laparoscopic entry in previous surgery casesNutan JainSweta SareenSwati KanawaVandana JainSunil GuptaSonika MannINTRODUCTION: 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.http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2016;volume=9;issue=1;spage=9;epage=17;aulast=JainLaparoscopypalmer's pointperiumbilical adhesionsprimary port |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nutan Jain Sweta Sareen Swati Kanawa Vandana Jain Sunil Gupta Sonika Mann |
spellingShingle |
Nutan Jain Sweta Sareen Swati Kanawa Vandana Jain Sunil Gupta Sonika Mann Jain point: A new safe portal for laparoscopic entry in previous surgery cases Journal of Human Reproductive Sciences Laparoscopy palmer's point periumbilical adhesions primary port |
author_facet |
Nutan Jain Sweta Sareen Swati Kanawa Vandana Jain Sunil Gupta Sonika Mann |
author_sort |
Nutan Jain |
title |
Jain point: A new safe portal for laparoscopic entry in previous surgery cases |
title_short |
Jain point: A new safe portal for laparoscopic entry in previous surgery cases |
title_full |
Jain point: A new safe portal for laparoscopic entry in previous surgery cases |
title_fullStr |
Jain point: A new safe portal for laparoscopic entry in previous surgery cases |
title_full_unstemmed |
Jain point: A new safe portal for laparoscopic entry in previous surgery cases |
title_sort |
jain point: a new safe portal for laparoscopic entry in previous surgery cases |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Human Reproductive Sciences |
issn |
0974-1208 1998-4766 |
publishDate |
2016-01-01 |
description |
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. |
topic |
Laparoscopy palmer's point periumbilical adhesions primary port |
url |
http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2016;volume=9;issue=1;spage=9;epage=17;aulast=Jain |
work_keys_str_mv |
AT nutanjain jainpointanewsafeportalforlaparoscopicentryinprevioussurgerycases AT swetasareen jainpointanewsafeportalforlaparoscopicentryinprevioussurgerycases AT swatikanawa jainpointanewsafeportalforlaparoscopicentryinprevioussurgerycases AT vandanajain jainpointanewsafeportalforlaparoscopicentryinprevioussurgerycases AT sunilgupta jainpointanewsafeportalforlaparoscopicentryinprevioussurgerycases AT sonikamann jainpointanewsafeportalforlaparoscopicentryinprevioussurgerycases |
_version_ |
1725578677455945728 |