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

Mohammadhosseini, Bijan

doi:10.1111/ases.12352

Cited by 1 publication

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 21 To overcome this problem, some authors take a stitch at the fascia and encircle the trocar throughout the procedure, whereas others use spiral trocars (whether disposable or reusable). 22 , 23 Disposable spiral trocars are very expensive compared to reusable trocars and, therefore, cannot be afforded by healthcare authorities in many hospitals, especially in the context of developing countries with limited resources. However, a reusable spiral trocar may require more force for insertion, which may carry a risk of unintentional injury due to repeated resistance to the corrugations along the whole shaft.…”

Section: Discussionmentioning

confidence: 99%

Intraoperative and Postoperative Outcomes of Modified Bidirectional Intra-Umbilical Incision versus Infra-Umbilical Incision for Direct Trocar Insertion in Gynaecological Laparoscopy

Darwish,

Tawfik,

Gaflan

et al. 2023

Sultan Qaboos Univ Med J

View full text Add to dashboard Cite

Objectives: To describe a modified curved deep bidirectional intra-umbilical vertical incision for primary trocar insertion and prospectively compare its intraoperative and postoperative outcomes with infra-umbilical incision in gynecologic laparoscopy. Methods: Between August 2019 and March 2021, 110 patients subjected to direct trocar insertion technique for laparoscopic intervention were classified into two groups. Group A comprised 55 cases of infra-umbilical incision while a modified curved longitudinal bidirectional deep intra-umbilical incision was used in group B (55 cases). Intraoperative and postoperative assessments were performed. Results: There was statistically significant increased numbers of parity, gravidity, and previous cesarean sections; and a smaller number of infertility complaints in group B. Likewise, group B expressed a statistically significant less peri-trocar CO2 leakage (46 patients, 83.6% versus 28 patients, 50.9%) and more tightness of the primary portal entry (45 patients, 81.8% versus 30 patients, 54.5%) if compared to group A throughout the whole operation. On follow-up after one month, there was a statistically significant (p-value = 0.029) decreased OSAS and PSAS in group B (10.4 ± 4.2 and 11.8 ± 4.3) i.e., better cosmoses when compared to group A (13.3 ± 5.7 and 16.0 ± 6.8) respectively. Conclusion: Performing a modified curved deep bidirectional intra-umbilical vertical incision for insertion of primary laparoscopic trocar is a simple and fast step that results in elimination of intraoperative gas leakage and trocar slippage without the need of any additional sutures. Aesthetically, it results in a better scar with satisfactory cosmoses if compared to infra-umbilical incision. Keywords: Laparoscopy; Trocar; Entry.

show abstract

Section: Discussionmentioning

confidence: 99%

Intraoperative and Postoperative Outcomes of Modified Bidirectional Intra-Umbilical Incision versus Infra-Umbilical Incision for Direct Trocar Insertion in Gynaecological Laparoscopy

Darwish,

Tawfik,

Gaflan

et al. 2023

Sultan Qaboos Univ Med J

View full text Add to dashboard Cite

show abstract

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

Abstract: Tehran's Tie is a simple trick for managing the first trocar site in laparoscopic surgery. It is a very useful and easy trick for fixing the first trocar to the abdominal wall and for closing the port site at the end of the procedure.

Cited by 1 publication

References 9 publications

Intraoperative and Postoperative Outcomes of Modified Bidirectional Intra-Umbilical Incision versus Infra-Umbilical Incision for Direct Trocar Insertion in Gynaecological Laparoscopy

Intraoperative and Postoperative Outcomes of Modified Bidirectional Intra-Umbilical Incision versus Infra-Umbilical Incision for Direct Trocar Insertion in Gynaecological Laparoscopy

Contact Info

Product

Resources

About