Letter to the Editor: The Darwish Point: An Alternative Nonumbilical Primary Laparoscopic Entry Site

Comprehensive management of umbilical endometriosis using a unique laparoscopic entry portal (Darwish point) and postoperative dienogest

“…8 If a minimally invasive surgical approach is chosen, the first challenge is how to access peritoneal cavity in a safe way particularly in women with previous operations like this case. In this case report, a new access point “Darwish point” 5 was chosen due to previous operations and the umbilical mass. Selection of right lumbar region access was successful and safe if compared with left sided access points like Palmar 9 or Jain 10 points.…”

“…The challenge was to select the safest entry site. The selection of the left lumbar region was the best choice “Darwish point.” 5 Veress needle was inserted at the level of the umbilicus (transverse line) meeting a vertical line 2.5 cm medial to anterior superior iliac spine (Figure 3(a)). After the performance of saline test for safety, induction of the pneumoperitoneum was done.…”

Facilitating combined upper and lower abdominal laparoscopic surgeries

“…eISSN: 2671-4922 minimized portal numbers. 2 Regarding upper abdominal surgery via this approach, the French position (lithotomy) is recommended for better access and surgeon comfort by maintaining a perfect azimuth angle. Using the Darwish point as a secondary portal may pave the way for random-ized controlled trials to compare this new approach with conventional laparoscopic entry portals for this type of surgery.…”

“…The Darwish point was recently identified as a secure (primary) laparoscopic entry point in exceptional situations. 2 It is a right-sided meeting point of an imaginary transverse line at the umbilical level and a vertical line 2.5 cm medial to the anterior superior iliac spine. It can subsequently serve as a right-sided auxiliary (secondary) laparoscopic entry site in some cases of combined upper abdominal (e.g., cholecystectomy, adhesiolysis) and lower abdominal laparoscopic surgeries (e.g., appendectomy, myomectomy, and ovarian cystectomy) in female patients.…”

A novel sustainable second‐derivative synchronous spectrofluorimetric method for the simultaneous determination of olmesartan medoxomil and rosuvastatin calcium in bulk and formulations: Integrated greenness and whiteness evaluation

“…Successful treatment of patients with dyslipidemia and hypertension using OML and ROS has been demonstrated [4]. For the purpose of determining OML, some analytical methods have been published, including LC‐MS/MS [5, 6], HPLC [7–10], spectrophotometric [11–14], and spectrofluorimetric methods [15–18]. These methods are available for determining OML either in formulations or in biological samples.…”