A simple way to fix a trocar during pediatric laparoscopy

Tehran's Tie: A simple trick to fix the trocar to the abdominal wall and close the entry site of first trocar in laparoscopic surgery

“…There have been many articles proposing ways to overcome this challenge. Yip et al reported using an adhesive attached to the trocar and a silk stitch anchored to neighboring skin , Millán et al used sterile nylon plastic seal wrapped around the trocar and a 2‐0 silk thread tied around the plastic seal . Others have reported using small pieces of Foley catheter as a sleeve , special devices , as well as many other techniques.…”

A Simple Technique of Trocar Fixation During Pediatric Laparoscopy with Foley Catheter Sleeve

“…Various methods have already been described for the prevention of trocar displacement in pediatric laparoscopy [1][2][3][4][5]. We do not prefer to use adhesive tapes [1,2] because Fig.…”

“…1 Small pieces of trocar sleeves being cut from a Foley catheter they may impregnate the instruments and stick to the gloves. Millan et al [4] described a plastic seal tightened with a plastic seal-fastening device. However, the plastic seal requires to be sterilized separately before use.…”

Reply

“…We read with interest the article "A simple way to fix a trocar during pediatric laparoscopy" by Millán et al [1], recently published in the Journal of Pediatric Surgery. The authors have rightly pointed out that the universally experienced problem with trocars in pediatric laparoscopy is trocar instability and has offered a simple and costeffective method in which the pediatric trocars may be adapted with a seal-fastening device [1].…”

“…The authors have rightly pointed out that the universally experienced problem with trocars in pediatric laparoscopy is trocar instability and has offered a simple and costeffective method in which the pediatric trocars may be adapted with a seal-fastening device [1]. However, the use of the disposable plastic seal-fastening device [1] may be costly, especially in the developing world. It also requires ethylene oxide sterilization, which may not be available in all operating rooms.…”