Background: To bring forth a novel non-umbilical entry port in case of thin patient. Methods: This is a retrospective study carried out at Vardhman Trauma and Laparoscopy Centre on thin patients from 2011 to 2019. Out of 7324 patients operated between 1 January 2011 and 31 December 2019 at this hospital, 398 met the criteria for thin patients (BMI < 18.5 kg/m 2). Results: A total of 398 patients who underwent laparoscopy surgery through the Jain point were classified as thin (BMI < 18.5 kg/m 2) patients. Infertility evaluation hystero-laparoscopy (30.40%), endometriosis (17.08%), and myomectomy (13.32%) followed by genital tuberculosis (11.5%) and ovarian tumors (4.01%) were the most common indications for surgery. None of the thin patients operated had any major vascular or bowel injury. Conclusion: The Jain point can be an alternative non-umbilical primary entry port in thin patients especially when conventional techniques are contraindicated.

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A 27 year old unmarried, sexually active obese woman with irregular menstrual cycle presented with symptoms of acute intermittent lower abdominal cramps for 1 day. On examination, general condition was fair and vitals were stable. On abdominal examination, it was soft and tender in the right iliac fossa. Per speculum examination revealed healthy cervix with minimal discharge. On per vaginal examination, uterus could not be assessed and bilateral fornices were full. Ultrasonography of abdomen and pelvis showed a left ovarian cyst of 12×11 cm with mixed echogenicity, a right ovarian cyst of 11×9 cm and right nephrolithiasis. Uterus was anteverted, normal in size and no free fluid was seen. Bilateral laparoscopic cystectomy was performed in view of suspected benign ovarian disease. Cut-section of the gross specimen showed hair, sebaceous fluid and cheesy material. Histopathology showed bilateral mature teratoma of ovary (dermoid ovarian cyst).