Two-trocar adnexal surgery: a “quasi” scarless operation

Abstract

The use of a two-trocar technique is safe and highly appreciated by the patients it leaves no visible abdominal scars.

Laparoscopic Ovariectomy in Dogs: Comparison Between Single Portal and Two‐Portal Access

“…24 In laparoscopy, reduction of surgical trauma is achieved through a decrease either in the number or size of portals. 25,26 To reduce the number of portals, different approaches have been proposed. Specific portals like double channel cannula 27 or special access system, 28,29 may allow entry of several instruments, or of instruments plus laparoscope.…”

Embryonic natural orifice transumbilical endoscopic surgery (E-NOTES) for adnexal tumors

“…For adnexal surgery, two-port laparoscopy was first introduced and shown to be safe and feasible by Ghezzi et al [8]. The first port is for the camera, and is introduced through the umbilicus; the second port is a working port and is inserted in the suprapubic area through a Z-tract for a quasiscarless surgical procedure [8].…”

“…Kalloo et al [8] first reported transvisceral endoscopic surgery through the stomach wall in 2004. Embryonic natural orifice transumbilical endoscopic surgery (E-NOTES) is an approach through the umbilicus that is patent during the embryonic and fetal periods.…”

One‐trocar salpingectomy for the treatment of tubal pregnancy: a ‘marionette‐like’ technique

“…This represents a further refinement of a previously described two-trocar approach for adnexal surgery 7 that eliminates the need of an extragrasping forceps (and therefore of an ancillary trocar) during salpingectomy. The use of a percutaneous sling has been also described to retract the gallbladder in two-port laparoscopic cholecystectomy.…”

“…The bag is rolled, grasped with a grasping forceps and introduced through the umbilical port with the free end of the thread held outside the abdomen, as previously described. 7 The fallopian tube, retracted by the transabdominal suture, is then easily placed into the retrieval bag (Fig. 1).…”