Improvised Transumbilical Glove Port: A Cost Effective Method for Single Port Laparoscopic Surgery

Khiangte, Elbert; Newme, Iheule; Phukan, Partha; Medhi, Santanu

doi:10.1007/s12262-010-0215-0

Cited by 32 publications

(45 citation statements)

References 6 publications

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“…Among them, the most commonly used is the glove port [3,4,15,17-19]. In the literature, the glove port is mostly described as being made from a disposable wound retractor (ALEXIS Wound Protector/Retractor, Applied Medical, Rancho Santa Margarita, CA, USA) and surgical glove, and it has been used for all TUSS, including robotic surgery [15,17-19]. These techniques are very simple and efficient for TUSS and are low-cost as compared with other commercial devices.…”

Section: Discussionmentioning

confidence: 99%

Transumbilical scarless surgery with thoracic trocar: easy and low-cost

et al. 2013

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PurposeSingle-site laparoscopic surgery has become increasingly common. We herein report an easy and low-cost thoracic trocar technique (TTT) for these types of procedures and recommend the simpler name "transumbilical scarless surgery" (TUSS) to minimize confusion in nomenclature.MethodsWe retrospectively reviewed patients who underwent TUSS by TTT using a thoracic trocar and surgical glove in our hospital between November 2011 and November 2012. Operating time, postoperative stay, and complications were detailed.ResultsA total of 101 TUSS by TTT were successfully performed, comprising appendectomy (n = 63), ovarian cyst excision (n = 7), splenectomy (n = 5), nephroureterectomy (n = 5), orchidopexy (n = 4), pyeloplasty (n = 3), nephrolithotomy (n = 2), orchiectomy (n = 2), varicocelectomy (n = 2), lymphangioma excision (n = 2), ureterectomy (n = 1), Morgagni diaphragmatic hernia repair (n = 1), ovarian detorsion (n = 1), antegrade continence enema (n = 1), intestinal resection anastomosis (n = 1), and intestinal duplication excision (n = 1). Kirschner wires were used for some organ traction. Nine patients required an additional port, but no major complications occurred. The postoperative stay (mean ± standard deviation) was 3.2 ± 1.4 days, and operating time was 58.9 ± 38.3 minutes.ConclusionWe recommend the simpler name of TUSS to minimize confusion in nomenclature for all transumbilical single-incision laparoendoscopic surgeries. TTT is an easy and low-cost TUSS technique.

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Section: Discussionmentioning

confidence: 99%

Transumbilical scarless surgery with thoracic trocar: easy and low-cost

et al. 2013

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“…Although, this device has the advantage of ease of application, an E.K. glove port might have been used for single-incision access to further decrease costs (20).…”

Section: Study Limitationsmentioning

confidence: 99%

Prospective randomized comparison of single-incision laparoscopic cholecystectomy with new facilitating maneuver vs. conventional four-port laparoscopic cholecystectomy

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et al. 2016

UCD

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Objective: We aimed to investigate the technical feasibility of single-incision laparoscopic cholecystectomy (SILC) with our new facilitative maneuver and to compare it with the gold standard four-port laparoscopic cholecystectomy (LC). Material and Methods:Operation time, cosmetic score and incisional hernia rates between LC (n=20) and SILC-1 (first 20 consecutive operations with the new technique) and 2 (subsequent 20 operations with the new technique) were compared. Results:The median operation time for LC, SILC-1 and SILC-2 were; 35 min (12-75), 47.5 min (30-70), and 30 min (12-80), respectively (p=0.005). The operation duration was similar in LC and SILC-2 (p=0.277) groups. Wound seroma rate was higher in SILC-1 (45%) and SILC-2 (30%) groups than LC (5%) group (p=0.010). Cosmetic score was similar between all the groups. Hernia rates were 15.8% and 5.3% in the SILC-1 and SILC-2 groups, respectively, while there was no hernia in the LC group.Conclusion: SILC with new facilitating maneuver is comparable with classical four-port laparoscopic cholecystectomy in terms of ease, operation time, reproducibility and safety. Besides these advantages, the single-incision access technique must be optimized to provide comparable wound complication and postoperative hernia rates before being recommended to patients.

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“…Hypointense calculus (4) is noted within the cystic lesion. Also seen are the gallbladder (5), portal vein (6), and the upper pole of the right kidney (7) was identified, dissected, clipped, and divided. The choledochal cyst was identified (Fig.…”

Section: Operative Techniquesmentioning

confidence: 99%

Laparoscopic Management of an Adult Choledochal Cyst Using the E.K. Glove Port as Wound Protector for Extracorporeal Roux-en-Y Anastomosis and Optical Port

et al. 2013

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Laparoscopic surgery has come to replace many conventional abdominal surgeries because of its outstanding advantages, including a better cosmetic result, faster recovery, and lesser postoperative pain. We present a case of laparoscopic-assisted total excision of Todani type I(B) choledochal cyst and biliary reconstruction in a 24-yearold female patient. Dissection of the cyst was done laparoscopically using the monopolar diathermy energy source. An end-to-side hepaticojejunostomy was created intracorporeally using 3-0 Vicryl suture, and end-to-side enteroenterostomy was completed outside the abdominal cavity using the E.K. glove port as wound protector. A new pair of gloves was then used to construct the glove port that served as the optical port. Additional instruments for retraction and suturing were deployed through the port whenever necessary. The use of the glove port also eliminated the need to suture the umbilical port before the completion of surgery. No intraoperative complications or technical problems were encountered using this technique. The use of the E.K. glove port makes it more a convenient and cost-effective procedure in a country like India.

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Improvised Transumbilical Glove Port: A Cost Effective Method for Single Port Laparoscopic Surgery

Cited by 32 publications

References 6 publications

Transumbilical scarless surgery with thoracic trocar: easy and low-cost

Transumbilical scarless surgery with thoracic trocar: easy and low-cost

Prospective randomized comparison of single-incision laparoscopic cholecystectomy with new facilitating maneuver vs. conventional four-port laparoscopic cholecystectomy

Laparoscopic Management of an Adult Choledochal Cyst Using the E.K. Glove Port as Wound Protector for Extracorporeal Roux-en-Y Anastomosis and Optical Port

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