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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Main Authors: Bashiru Omeiza Ismaila, Barnabas T Alayande
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Nigerian Journal of Surgery
Subjects:
Online Access:http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2019;volume=25;issue=1;spage=76;epage=79;aulast=Ismaila
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author Bashiru Omeiza Ismaila
Barnabas T Alayande
author_facet Bashiru Omeiza Ismaila
Barnabas T Alayande
author_sort Bashiru Omeiza Ismaila
collection DOAJ
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 The trocar is withdrawn while the sleeve is pushed in.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 doaj.art-daa99a63064d450bb7f3edc8d30ea5d32022-12-21T18:47:40ZengWolters Kluwer Medknow PublicationsNigerian Journal of Surgery1117-68062019-01-01251767910.4103/njs.NJS_34_18A modified open primary laparoscopic surgery port placement through umbilical tubeBashiru Omeiza IsmailaBarnabas T AlayandeBackground: 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.http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2019;volume=25;issue=1;spage=76;epage=79;aulast=IsmailaLaparoscopic surgeryportsleevetrocarumbilical tube
spellingShingle Bashiru Omeiza Ismaila
Barnabas T Alayande
A modified open primary laparoscopic surgery port placement through umbilical tube
Nigerian Journal of Surgery
Laparoscopic surgery
port
sleeve
trocar
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 Laparoscopic surgery
port
sleeve
trocar
umbilical tube
url http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2019;volume=25;issue=1;spage=76;epage=79;aulast=Ismaila
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AT barnabastalayande amodifiedopenprimarylaparoscopicsurgeryportplacementthroughumbilicaltube
AT bashiruomeizaismaila modifiedopenprimarylaparoscopicsurgeryportplacementthroughumbilicaltube
AT barnabastalayande modifiedopenprimarylaparoscopicsurgeryportplacementthroughumbilicaltube