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| ORIGINAL ARTICLE |
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| Year : 2016 |
Volume
: 9 | Issue : 1 | Page
: 9-17 |
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Jain point: A new safe portal for laparoscopic entry in previous surgery cases
Nutan Jain, Sweta Sareen, Swati Kanawa, Vandana Jain, Sunil Gupta, Sonika Mann
Vardhman Infertility and Endoscopy Centre, Muzaffarnagar, Uttar Pradesh, India
Correspondence Address:
Dr. Nutan Jain
Vardhman Infertility and Endoscopy Centre, A-36, South Civil Lines, Mahavir Chowk, Muzaffarnagar - 251 001, Uttar Pradesh
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0974-1208.178637
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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. |
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